Healthcare Provider Details

I. General information

NPI: 1174226617
Provider Name (Legal Business Name): TAHREEM HASHMI DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2023
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 WASHINGTON ST
HOLLYWOOD FL
33021-8216
US

IV. Provider business mailing address

3600 WASHINGTON ST
HOLLYWOOD FL
33021-8216
US

V. Phone/Fax

Practice location:
  • Phone: 954-518-5936
  • Fax:
Mailing address:
  • Phone: 954-518-5936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberOS23601
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: