Provider Demographics
NPI:1598287724
Name:HASHMI, ALI IMRAN
Entity Type:Individual
Prefix:MR
First Name:ALI
Middle Name:IMRAN
Last Name:HASHMI
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:ALI
Other - Middle Name:IMRAN
Other - Last Name:HASHMI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:320 EDINBURGH DR STE A
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-4157
Mailing Address - Country:US
Mailing Address - Phone:407-644-4706
Mailing Address - Fax:
Practice Address - Street 1:320 EDINBURGH DR
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-4157
Practice Address - Country:US
Practice Address - Phone:407-644-4706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-10
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
1923OtherAH