Provider Demographics
NPI:1275391377
Name:HASHMI, IFFAT JAVED
Entity Type:Individual
Prefix:
First Name:IFFAT
Middle Name:JAVED
Last Name:HASHMI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 DEMING RD UNIT 18
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:CT
Mailing Address - Zip Code:06037-1662
Mailing Address - Country:US
Mailing Address - Phone:614-432-9167
Mailing Address - Fax:
Practice Address - Street 1:1210 SILAS DEANE HWY
Practice Address - Street 2:
Practice Address - City:WETHERSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06109-4328
Practice Address - Country:US
Practice Address - Phone:258-860-3464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical