Provider Demographics
NPI:1851365241
Name:HASHEMIPOUR, SAID (MD)
Entity Type:Individual
Prefix:DR
First Name:SAID
Middle Name:
Last Name:HASHEMIPOUR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SAID
Other - Middle Name:
Other - Last Name:HASHEMIPOUR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1705 OHIO DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5255
Mailing Address - Country:US
Mailing Address - Phone:972-612-0430
Mailing Address - Fax:972-612-8629
Practice Address - Street 1:1705 OHIO DR
Practice Address - Street 2:SUITE 100
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5255
Practice Address - Country:US
Practice Address - Phone:972-612-0430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3493208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX020020538OtherMEDICARE RAILROAD
TX8A7550OtherBCBS
TXF59430Medicare UPIN
TX020020538OtherMEDICARE RAILROAD
TX134955709Medicaid