Provider Demographics
NPI:1861515553
Name:MOHSEN A RASHDAN MD PA
Entity type:Organization
Organization Name:MOHSEN A RASHDAN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHSEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:RASHDAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-347-0100
Mailing Address - Street 1:1000 NW 9TH CT
Mailing Address - Street 2:SUITE 105
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-2268
Mailing Address - Country:US
Mailing Address - Phone:561-347-0100
Mailing Address - Fax:561-347-7296
Practice Address - Street 1:1000 NW 9TH CT
Practice Address - Street 2:SUITE 105
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2268
Practice Address - Country:US
Practice Address - Phone:561-347-0100
Practice Address - Fax:561-347-7296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL045860100Medicaid
FL045860100Medicaid
D86130Medicare UPIN