Provider Demographics
NPI:1972738201
Name:ATTAHIRU, HASHIM A (RN)
Entity Type:Individual
Prefix:
First Name:HASHIM
Middle Name:A
Last Name:ATTAHIRU
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2606 BANISTER RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-6515
Mailing Address - Country:US
Mailing Address - Phone:443-718-7782
Mailing Address - Fax:
Practice Address - Street 1:2606 BANISTER RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-6515
Practice Address - Country:US
Practice Address - Phone:443-718-7782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-15
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR182032163WA2000X, 163WC0200X, 163WC0400X, 163WC1500X, 163WH0200X, 163WI0500X, 163WN0800X, 163WM0705X, 163WP0000X, 163WR0400X, 163WX0800X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WA2000XNursing Service ProvidersRegistered NurseAdministratorGroup - Multi-Specialty
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163WN0800XNursing Service ProvidersRegistered NurseNeuroscience
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WP0000XNursing Service ProvidersRegistered NursePain Management
No163WR0400XNursing Service ProvidersRegistered NurseRehabilitation
No163WX0800XNursing Service ProvidersRegistered NurseOrthopedic