Provider Demographics
NPI:1013261130
Name:HASHEMI, SAYED WAHIDUDEEN (RPH)
Entity Type:Individual
Prefix:
First Name:SAYED
Middle Name:WAHIDUDEEN
Last Name:HASHEMI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1160 BROADWAY APT A
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-5300
Mailing Address - Country:US
Mailing Address - Phone:510-523-4612
Mailing Address - Fax:
Practice Address - Street 1:1160 BROADWAY APT A
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-5300
Practice Address - Country:US
Practice Address - Phone:510-523-4612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-29
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA65145183500000X
VA0202211053183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist