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NPI 1770014201

NPI 1770014201 : MOHAMMAD HASHMI D.O : SAN LUIS OBISPO, CA

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General NPI Number Information
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    NPI Number           |    1770014201
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    Entity Type          |    Individual 
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    Provider Name        |    MOHAMMAD HASHMI D.O
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/26/2017
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    Last Update Date     |    05/30/2025
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Provider Practice Location Address
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    Address Line         |    1941 JOHNSON AVE STE 101 
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    City                 |    SAN LUIS OBISPO
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    State                |    CA
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    Zip                  |    93401-4154
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    Country              |    US
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    Telephone            |    805-782-8844
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    Fax                  |    833-613-2634
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Provider Business Mailing Address
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    Address Line         |    1941 JOHNSON AVE STE 101 
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    City                 |    SAN LUIS OBISPO
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    State                |    CA
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    Zip                  |    93401-4154
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    Country              |    US
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    Telephone            |    805-782-8844
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    Fax                  |    833-613-2634
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    20A17100
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    207RI0011X
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    Taxonomy Name        |    Interventional Cardiology Physician
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    License Number       |    20A17100
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    License Number State |    CA
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