Provider Demographics
NPI:1821176785
Name:HASHISH, YASEEN (MD)
Entity Type:Individual
Prefix:
First Name:YASEEN
Middle Name:
Last Name:HASHISH
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:G1071 N. BALLENGER HWY
Mailing Address - Street 2:SUITE 310
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48504-4453
Mailing Address - Country:US
Mailing Address - Phone:810-238-4172
Mailing Address - Fax:810-238-4153
Practice Address - Street 1:G1071 N. BALLENGER HWY.
Practice Address - Street 2:SUITE 310
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48504-4453
Practice Address - Country:US
Practice Address - Phone:810-238-4172
Practice Address - Fax:810-238-4153
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301079267207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4588678Medicaid
MI5343974Medicaid
MI1102510672OtherBLUE CROSS BLUE SHIELD
MIG92577Medicare UPIN
MI1102510672OtherBLUE CROSS BLUE SHIELD