Healthcare Provider Details

I. General information

NPI: 1548290380
Provider Name (Legal Business Name): MAHER B ALHASHIMI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 09/27/2021
Certification Date: 09/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 RURAL AVE
WILLIAMSPORT PA
17701-3109
US

IV. Provider business mailing address

PO BOX 759018
BALTIMORE MD
21275-0001
US

V. Phone/Fax

Practice location:
  • Phone: 570-321-2185
  • Fax: 904-346-0113
Mailing address:
  • Phone: 866-434-3164
  • Fax: 904-346-0113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD039307L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: