Provider Demographics
NPI:1033159322
Name:HASHMI, SHEREEN (MD)
Entity Type:Individual
Prefix:
First Name:SHEREEN
Middle Name:
Last Name:HASHMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX L-3167
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43260-0001
Mailing Address - Country:US
Mailing Address - Phone:614-781-1749
Mailing Address - Fax:614-781-1751
Practice Address - Street 1:439 E WILSON BRIDGE RD
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2320
Practice Address - Country:US
Practice Address - Phone:614-781-1749
Practice Address - Fax:614-781-1751
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35063067207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0904712Medicaid
OHHA0730727Medicare PIN
OHF47328Medicare UPIN