Provider Demographics
NPI:1790918019
Name:ALMARZOUKI, HASHEM SAMIR (MD)
Entity Type:Individual
Prefix:DR
First Name:HASHEM
Middle Name:SAMIR
Last Name:ALMARZOUKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:HASHIM
Other - Middle Name:SAMIR
Other - Last Name:AL-MARZOUKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:385 E GREEN ST
Mailing Address - Street 2:2513
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2321
Mailing Address - Country:US
Mailing Address - Phone:514-983-6357
Mailing Address - Fax:
Practice Address - Street 1:OPHTHALMOLOGY DEPARTMENT, MCGILL UNIVERSITY
Practice Address - Street 2:3655 PROMENADE SIR WILLIAM OSLER
Practice Address - City:MONTREAL
Practice Address - State:QC
Practice Address - Zip Code:H3G 1Y6
Practice Address - Country:CA
Practice Address - Phone:514-398-3595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZR11659390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program