Provider Demographics
NPI:1417373010
Name:GAZI, HASHIM (MD)
Entity Type:Individual
Prefix:DR
First Name:HASHIM
Middle Name:
Last Name:GAZI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18370 BURBANK BLVD STE 707
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-2869
Mailing Address - Country:US
Mailing Address - Phone:818-345-5580
Mailing Address - Fax:818-609-2834
Practice Address - Street 1:18370 BURBANK BLVD STE 707
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-2869
Practice Address - Country:US
Practice Address - Phone:818-345-5580
Practice Address - Fax:818-609-2834
Is Sole Proprietor?:No
Enumeration Date:2014-03-07
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036141858207RI0011X
390200000X
CAA166600207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program