Provider Demographics
NPI:1144407503
Name:HASHIM, ABDELAZIM OSMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ABDELAZIM
Middle Name:OSMAN
Last Name:HASHIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ABDELAZIM
Other - Middle Name:O
Other - Last Name:HASHIM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:550 GAGE BLVD
Mailing Address - Street 2:STE 101
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-9532
Mailing Address - Country:US
Mailing Address - Phone:509-942-3627
Mailing Address - Fax:509-627-2983
Practice Address - Street 1:1100 GOETHALS DR STE F
Practice Address - Street 2:KADLEC INLAND CARDIOLOGY,
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3301
Practice Address - Country:US
Practice Address - Phone:509-942-3272
Practice Address - Fax:509-942-3273
Is Sole Proprietor?:No
Enumeration Date:2008-01-29
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60388993207RC0000X, 207RI0011X, 207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA313637OtherL&I
WA1144407503Medicaid
OR500660645Medicaid
WAG8923310Medicare PIN