Provider Demographics
NPI:1619264645
Name:HASHEMI, NAFISEH (MD)
Entity Type:Individual
Prefix:
First Name:NAFISEH
Middle Name:
Last Name:HASHEMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23245 W VAIL DR
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1449
Mailing Address - Country:US
Mailing Address - Phone:832-776-5078
Mailing Address - Fax:
Practice Address - Street 1:5353 BALBOA BLVD SUIT 110
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316
Practice Address - Country:US
Practice Address - Phone:818-387-6565
Practice Address - Fax:818-387-6288
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA136366207W00000X, 207WX0109X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0109XAllopathic & Osteopathic PhysiciansOphthalmologyNeuro-ophthalmology
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology