Provider Demographics
NPI:1790919595
Name:HASHAM, SARAH (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:HASHAM
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 1:2000 ESTERS RD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-9531
Mailing Address - Country:US
Mailing Address - Phone:469-713-3019
Mailing Address - Fax:469-212-1399
Practice Address - Street 1:2000 ESTERS RD
Practice Address - Street 2:SUITE 140
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-9531
Practice Address - Country:US
Practice Address - Phone:469-713-3019
Practice Address - Fax:469-212-1399
Is Sole Proprietor?:No
Enumeration Date:2009-05-07
Last Update Date:2015-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXP2996208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program