Provider Demographics
NPI:1447244306
Name:HASHMI, RAZA (MD)
Entity Type:Individual
Prefix:
First Name:RAZA
Middle Name:
Last Name:HASHMI
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 1:2409 CHERRY ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608-2625
Mailing Address - Country:US
Mailing Address - Phone:419-251-3711
Mailing Address - Fax:419-251-6827
Practice Address - Street 1:2409 CHERRY ST
Practice Address - Street 2:SUITE 100
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-2625
Practice Address - Country:US
Practice Address - Phone:419-251-3711
Practice Address - Fax:419-251-6827
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35082119207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH18-38686OtherUHC
OH000000306870OtherANTHEM
OHP00038306OtherRRMC
OH2419305Medicaid
OH04338OtherPHC
OH5258751OtherAETNA
OH4108546Medicare PIN
OH04338OtherPHC
OHP00038306OtherRRMC