Provider Demographics
NPI:1982367454
Name:ALHASHIM, DHOHA ABDULMONEAM (PA-C)
Entity Type:Individual
Prefix:MS
First Name:DHOHA
Middle Name:ABDULMONEAM
Last Name:ALHASHIM
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15646 OLD COLUMBIA PIKE
Mailing Address - Street 2:
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-1630
Mailing Address - Country:US
Mailing Address - Phone:301-421-1214
Mailing Address - Fax:
Practice Address - Street 1:15646 OLD COLUMBIA PIKE
Practice Address - Street 2:
Practice Address - City:BURTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20866
Practice Address - Country:US
Practice Address - Phone:301-421-1214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-20
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027001363A00000X
VA0110-007994363A00000X
MDC0008173363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant