Healthcare Provider Details

I. General information

NPI: 1942128384
Provider Name (Legal Business Name): SAYED MUJTABA HASHIMI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

759 CLARIDAD LOOP
MILPITAS CA
95035-8649
US

IV. Provider business mailing address

759 CLARIDAD LOOP
MILPITAS CA
95035-8649
US

V. Phone/Fax

Practice location:
  • Phone: 408-705-8870
  • Fax: 408-705-8764
Mailing address:
  • Phone: 408-705-8870
  • Fax: 408-705-8764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License NumberF7421208
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: