Provider Demographics
NPI:1912000506
Name:SHOAIB HASHMI MD, PA
Entity Type:Organization
Organization Name:SHOAIB HASHMI MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:YASSIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-383-2072
Mailing Address - Street 1:821 N EUTAW ST #308
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201
Mailing Address - Country:US
Mailing Address - Phone:410-383-2072
Mailing Address - Fax:410-669-6067
Practice Address - Street 1:821 N EUTAW ST #308
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201
Practice Address - Country:US
Practice Address - Phone:410-383-2072
Practice Address - Fax:410-669-6067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Not Answered207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDKAN7SHOtherBCBS
MDKAN7SHOtherBCBS
I48187Medicare UPIN