Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | A96966 | CA |
N | 2084N0600X | Clinical Neurophysiologist | A96966 | CA |
NPI | 1467593459 |
---|---|
Provider Name | Khadija S Rashid |
First Address | Tulare, CA 93274-2233 |
Second Address | Visalia, CA 93277-9476 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2007 |
Last Update Date | 01/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A969660 | (05) | CA |
0-566-115-2 | ECFMG (01) |