Healthcare Provider Details

I. General information

NPI: 1043574395
Provider Name (Legal Business Name): HAND AND PERIPHERAL NERVE SURGERY INSTITUTE PC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2012
Last Update Date: 07/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 WASHINGTON CIR NW SUITE 208
WASHINGTON DC
20037-2356
US

IV. Provider business mailing address

9200 COLESVILLE RD
SILVER SPRING MD
20910-1656
US

V. Phone/Fax

Practice location:
  • Phone: 202-271-0599
  • Fax:
Mailing address:
  • Phone: 202-642-2998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License NumberD68508
License Number StateMD

VIII. Authorized Official

Name: DR. SHAHREYAR S HASHEMI
Title or Position: MEMBER
Credential: M.D.
Phone: 202-271-0599