Provider Demographics
NPI:1508847625
Name:HASHIMI, LABIB (MD)
Entity Type:Individual
Prefix:DR
First Name:LABIB
Middle Name:
Last Name:HASHIMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:13768 ROSWELL AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-1401
Mailing Address - Country:US
Mailing Address - Phone:909-591-0814
Mailing Address - Fax:909-364-9929
Practice Address - Street 1:13768 ROSWELL AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-1401
Practice Address - Country:US
Practice Address - Phone:909-591-0814
Practice Address - Fax:909-364-9929
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-07
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA47961207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A479611Medicaid
CA00A479611Medicaid
CA00A479611Medicare ID - Type Unspecified