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

Table of content: (NPI 1366456675)

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".




Copyright © 2007-2025 www.npivalidator.com