Basic Information
Provider Information
NPI: 1285948943
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALTAFI
FirstName: RASHID
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5255 LOUGHBORO RD NW
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200162633
CountryCode: US
TelephoneNumber: 2026606820
FaxNumber: 2026607803
Practice Location
Address1: 2150 PENNSYLVANIA AVE NW
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200373201
CountryCode: US
TelephoneNumber: 2027413000
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/04/2010
LastUpdateDate: 07/07/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/07/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208D00000X0101261901VAN Allopathic & Osteopathic PhysiciansGeneral Practice 
208M00000XMD451998PAN Allopathic & Osteopathic PhysiciansHospitalist 
208M00000XMD044799DCN Allopathic & Osteopathic PhysiciansHospitalist 
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 
208D00000X277030NYN Allopathic & Osteopathic PhysiciansGeneral Practice 

ID Information
IDTypeStateIssuerDescription
102981260-000105PA MEDICAID


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