Provider Demographics
NPI:1205941911
Name:HASHIMI, DIANA KIRK (MD)
Entity type:Individual
Prefix:DR
First Name:DIANA
Middle Name:KIRK
Last Name:HASHIMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4310 OLD SHELL RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-2049
Mailing Address - Country:US
Mailing Address - Phone:251-895-4345
Mailing Address - Fax:251-341-5058
Practice Address - Street 1:4310 OLD SHELL RD
Practice Address - Street 2:SUITE E
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-2049
Practice Address - Country:US
Practice Address - Phone:251-895-4345
Practice Address - Fax:251-341-5058
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15946207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510I110029Medicare PIN
ALE92290Medicare UPIN