Provider Demographics
NPI:1750490439
Name:RAJPUT, HASHMAT (MD)
Entity Type:Individual
Prefix:
First Name:HASHMAT
Middle Name:
Last Name:RAJPUT
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 1:1 BEACH ROAD
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-3201
Mailing Address - Country:US
Mailing Address - Phone:914-736-2616
Mailing Address - Fax:914-941-4421
Practice Address - Street 1:2042 ALBANY POST ROAD
Practice Address - Street 2:SUITE 3
Practice Address - City:CROTON
Practice Address - State:NY
Practice Address - Zip Code:10520
Practice Address - Country:US
Practice Address - Phone:914-736-2616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY172566207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01055178Medicaid
A60777Medicare UPIN
15E302Medicare ID - Type Unspecified