Provider Demographics
NPI:1912099045
Name:HASHMI, GHOUSIA (MD)
Entity Type:Individual
Prefix:
First Name:GHOUSIA
Middle Name:
Last Name:HASHMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 FULD ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08638-5247
Mailing Address - Country:US
Mailing Address - Phone:609-278-1300
Mailing Address - Fax:609-278-1333
Practice Address - Street 1:40 FULD ST
Practice Address - Street 2:SUITE 204
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08638-5247
Practice Address - Country:US
Practice Address - Phone:609-278-1300
Practice Address - Fax:609-278-1333
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04181900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3714306Medicaid
NJHA520753Medicare ID - Type Unspecified
NJ3714306Medicaid