Healthcare Provider Details
I. General information
NPI: 1871907212
Provider Name (Legal Business Name): OSMAN IRFAN HASHMI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/13/2014
Last Update Date: 06/30/2021
Certification Date: 06/30/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1855 SPRING HILL AVE
MOBILE AL
36607-2301
US
IV. Provider business mailing address
1855 SPRING HILL AVE
MOBILE AL
36607-2301
US
V. Phone/Fax
- Phone: 251-471-3544
- Fax:
- Phone: 251-471-3544
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208G00000X |
| Taxonomy | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| License Number | 35802 |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: