=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184913246
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NAEEM HASHMI MEDICAL CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/29/2011
-----------------------------------------------------
Last Update Date | 03/29/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 957 COLONIAL LANE
-----------------------------------------------------
City | PALO ALTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94303
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 650-813-1909
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 957 COLONIAL LANE
-----------------------------------------------------
City | PALO ALTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94303
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 650-813-1909
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/CEO
-----------------------------------------------------
Name | DR. NAEEM HASHMI
-----------------------------------------------------
Credential | MD; PHD
-----------------------------------------------------
Telephone | 650-813-1909
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | A76894
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------