MEDICARE: DR. ABDELAZIM OSMAN HASHIM M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	MD60388993	WA
2	207RI0011X	Interventional Cardiology Physician	MD60388993	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	313637	OTHER	WA	L&I
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144407503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABDELAZIM OSMAN HASHIM M.D.

Provider Business Mailing Address
First Line	:	550 GAGE BLVD
Second Line	:	STE 101
City	:	RICHLAND
State	:	WA
Zip	:	99352-9532
Country	:	US
Telephone Number	:	509-942-3627
Fax Number	:	509-627-2983

Provider Business Practice Location Address
First Line	:	1100 GOETHALS DR STE F
Second Line	:	KADLEC INLAND CARDIOLOGY,
City	:	RICHLAND
State	:	WA
Zip	:	99352-3301
Country	:	US
Telephone Number	:	509-942-3272
Fax Number	:	509-942-3273

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2008
Last Update Date	:	11/11/2021

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