Provider Demographics
NPI:1952893950
Name:MIDLAND MEDICAL GROUP, LLC
Entity Type:Organization
Organization Name:MIDLAND MEDICAL GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:JAMA
Authorized Official - Last Name:HASHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-428-8100
Mailing Address - Street 1:2330 MORSE RD STE A
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-5804
Mailing Address - Country:US
Mailing Address - Phone:614-428-8101
Mailing Address - Fax:
Practice Address - Street 1:1000 GEORGESVILLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228
Practice Address - Country:US
Practice Address - Phone:614-428-8100
Practice Address - Fax:614-428-8101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-05
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty