Provider Demographics
NPI:1831186790
Name:HASHEMI, SEYED M (MD)
Entity type:Individual
Prefix:
First Name:SEYED
Middle Name:M
Last Name:HASHEMI
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:14904 JEFFERSON DAVIS HWY
Mailing Address - Street 2:SUITE #202
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-3908
Mailing Address - Country:US
Mailing Address - Phone:703-490-3700
Mailing Address - Fax:703-490-3799
Practice Address - Street 1:14904 JEFFERSON DAVIS HWY
Practice Address - Street 2:SUITE #202
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-3908
Practice Address - Country:US
Practice Address - Phone:703-490-3700
Practice Address - Fax:703-490-3799
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-05
Last Update Date:2018-04-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101250306207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
I16832Medicare UPIN
PA083593D9NMedicare ID - Type Unspecified