1366456675 NPI number — HASHIM S. HASHIM, M.D., P.C.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366456675 NPI number — HASHIM S. HASHIM, M.D., P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HASHIM S. HASHIM, M.D., P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366456675
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4701 RANDOLPH RD
Provider Second Line Business Mailing Address:
SUITE 212
Provider Business Mailing Address City Name:
ROCKVILLE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20852-2257
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
240-221-0141
Provider Business Mailing Address Fax Number:
240-221-0143

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4701 RANDOLPH RD
Provider Second Line Business Practice Location Address:
SUITE 212
Provider Business Practice Location Address City Name:
ROCKVILLE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20852-2257
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
240-221-0141
Provider Business Practice Location Address Fax Number:
240-221-0143
Provider Enumeration Date:
07/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HASHIM
Authorized Official First Name:
HASHIM
Authorized Official Middle Name:
SHAMSALDIN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
240-221-0141

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  D0052219 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 52219 . This is a "INFORMED" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 7847 . This is a "CAREFIRST BCBS NCA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 68362 . This is a "AMERIGROUP" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: LX08-HA . This is a "CAREFIRST BCBS MD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 05443 . This is a "PREFERRED HEALTH NETWORK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5873603 . This is a "AETNA PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 609171-02 . This is a "BCBS MD RENDERING #" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 1178971 . This is a "FIRST HEALTH NETWORK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1201924 . This is a "UNITED HEALTHCARE HMO" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 2003078 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 034535 . This is a "PRIORITY PARTNERS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 2137038 . This is a "CIGNA HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 52219 . This is a "ADVENTIST HEALTHCARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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