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NPI Code Detail

MEDICARE: DR. ABDUL MONEIM HASHEESH MD

MEDICARE: DR. ABDUL MONEIM HASHEESH MD
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
1207R00000XInternal Medicine PhysicianN5713TX

General Provider Information

NPI Number : 1912199654
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABDUL MONEIM HASHEESH MD
Provider Business Mailing Address
First Line : 605 CREEKVIEW LN
Second Line :
City : COLLEYVILLE
State : TX
Zip : 76034-2811
Country : US
Telephone Number : 817-714-8902
Fax Number :
Provider Business Practice Location Address
First Line : 4401 BOOTH CALLOWAY RD
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-7371
Country : US
Telephone Number : 817-255-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2007
Last Update Date : 09/08/2017

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