Healthcare Provider Details

I. General information

NPI: 1518097989
Provider Name (Legal Business Name): NADEEM A HASHMI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 09/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11085 LITTLE PATUXENT PKWY SUITE 104
COLUMBIA MD
21044-2983
US

IV. Provider business mailing address

11085 LITTLE PATUXENT PKWY SUITE 104
COLUMBIA MD
21044-2983
US

V. Phone/Fax

Practice location:
  • Phone: 410-997-2770
  • Fax:
Mailing address:
  • Phone: 410-997-2770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberD0067020
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: