Healthcare Provider Details

I. General information

NPI: 1497739791
Provider Name (Legal Business Name): HASHIM S HASHIM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 RANDOLPH RD SUITE 212
ROCKVILLE MD
20852-2257
US

IV. Provider business mailing address

4701 RANDOLPH RD SUITE 212
ROCKVILLE MD
20852-2257
US

V. Phone/Fax

Practice location:
  • Phone: 240-221-0141
  • Fax: 240-221-0143
Mailing address:
  • Phone: 240-221-0141
  • Fax: 240-221-0143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberD0052219
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0052219
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: