Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 125062649 | IL |
NPI | 1043552433 |
---|---|
Provider Name | Dr. Izad-Yar Daniel Rasheed |
First Address | Nutley, NJ 07110-3529 |
Second Address | Brooklyn, NY 11203-2054 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2013 |
Last Update Date | 05/05/2020 |