Provider Demographics
NPI:1255643250
Name:HASTIE, CASHENA LATEEFAH (MD)
Entity type:Individual
Prefix:
First Name:CASHENA
Middle Name:LATEEFAH
Last Name:HASTIE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3555 HARDEN STREET EXT
Mailing Address - Street 2:15 MEDICAL PARK, SUITE 300
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-6894
Mailing Address - Country:US
Mailing Address - Phone:803-434-6412
Mailing Address - Fax:803-434-1537
Practice Address - Street 1:15 MEDICAL PARK, STE 141
Practice Address - Street 2:GENERAL PSYCHIATRY
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203
Practice Address - Country:US
Practice Address - Phone:803-434-1433
Practice Address - Fax:803-434-4351
Is Sole Proprietor?:No
Enumeration Date:2010-07-07
Last Update Date:2017-01-20
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Provider Licenses
StateLicense IDTaxonomies
SCLL327152084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSC7730D492Medicare PIN