Provider Demographics
NPI:1669685681
Name:MOHAMMAD A. HASHMI
Entity Type:Organization
Organization Name:MOHAMMAD A. HASHMI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:SOPHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-902-5060
Mailing Address - Street 1:7 PETRUS AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-3709
Mailing Address - Country:US
Mailing Address - Phone:718-902-5060
Mailing Address - Fax:718-966-1801
Practice Address - Street 1:3710 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-3865
Practice Address - Country:US
Practice Address - Phone:718-902-5060
Practice Address - Fax:718-966-1801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY214454174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01978165Medicaid
NY01978165Medicaid
NYG98928Medicare UPIN