Healthcare Provider Details

I. General information

NPI: 1508444381
Provider Name (Legal Business Name): SHARIQ HAIDER HASHMI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2021
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 WOODBINE LN
DANVILLE PA
17821-8029
US

IV. Provider business mailing address

100 N ACADEMY AVE
DANVILLE PA
17822-9800
US

V. Phone/Fax

Practice location:
  • Phone: 570-271-6531
  • Fax: 570-271-7146
Mailing address:
  • Phone: 570-271-6531
  • Fax: 570-271-7146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD495833
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: