Basic Information
Provider Information
NPI: 1356606651
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALQADI
FirstName: RASHA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 421
Address2:  
City: LIBERTY LAKE
State: WA
PostalCode: 990190421
CountryCode: US
TelephoneNumber: 5097472455
FaxNumber: 5092277070
Practice Location
Address1: 105 W 8TH AVE STE 7010
Address2:  
City: SPOKANE
State: WA
PostalCode: 992042312
CountryCode: US
TelephoneNumber: 5094554166
FaxNumber: 5092277070
Other Information
ProviderEnumerationDate: 07/12/2012
LastUpdateDate: 10/27/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XLP02526RIN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RR0500XMD60761715WAY Allopathic & Osteopathic PhysiciansInternal MedicineRheumatology

No ID Information.


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