Provider Demographics
NPI:1093212300
Name:HASHEMI, KADIA ESTEE WORMLEY (MD)
Entity Type:Individual
Prefix:
First Name:KADIA
Middle Name:ESTEE WORMLEY
Last Name:HASHEMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KADIA
Other - Middle Name:ESTEE
Other - Last Name:WORMLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:901 NEVIN AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94801
Mailing Address - Country:US
Mailing Address - Phone:510-307-1721
Mailing Address - Fax:510-307-1725
Practice Address - Street 1:901 NEVIN AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94801
Practice Address - Country:US
Practice Address - Phone:510-307-1721
Practice Address - Fax:510-307-1725
Is Sole Proprietor?:No
Enumeration Date:2018-04-12
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program