Healthcare Provider Details

I. General information

NPI: 1114010907
Provider Name (Legal Business Name): MICHAEL MAJID HASHEMIAN M.D., D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 10/01/2020
Certification Date: 10/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 SEVEN HILLS DR.
SPRING HILL FL
34609
US

IV. Provider business mailing address

32 SEVEN HILLS DR.
SPRING HILL FL
34609
US

V. Phone/Fax

Practice location:
  • Phone: 352-688-4556
  • Fax: 352-346-2260
Mailing address:
  • Phone: 352-688-4556
  • Fax: 352-688-6238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDN13686
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: