Provider Demographics
NPI:1700089521
Name:HASHMI, RAZA UR-REHMAN (MD)
Entity Type:Individual
Prefix:
First Name:RAZA
Middle Name:UR-REHMAN
Last Name:HASHMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6799 GREAT OAKS RD STE 200
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38138-2581
Mailing Address - Country:US
Mailing Address - Phone:901-821-8300
Mailing Address - Fax:901-259-9793
Practice Address - Street 1:6799 GREAT OAKS RD STE 200
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38138-2581
Practice Address - Country:US
Practice Address - Phone:901-821-8300
Practice Address - Fax:901-259-9793
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS20739207R00000X, 207RG0300X, 208M00000X
TN50698207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS4168856OtherCIGNA
MSP00811327OtherRAILROAD MEDICARE
MS02984302Medicaid
MS6037005OtherHEALTHSPRING
MS9127455OtherAETNA
MS9127455OtherAETNA