Provider Demographics
NPI:1720033350
Name:HASHMI, ALI MADEEH (MD)
Entity Type:Individual
Prefix:DR
First Name:ALI
Middle Name:MADEEH
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 1:1816 W MATTHEWS AVE
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-3344
Mailing Address - Country:US
Mailing Address - Phone:870-972-5651
Mailing Address - Fax:
Practice Address - Street 1:1905 CHATEAU BLVD STE B
Practice Address - Street 2:
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450-6279
Practice Address - Country:US
Practice Address - Phone:870-236-2265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE17162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR128707526Medicaid
AR5K999Medicare ID - Type Unspecified