Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | DN13686 | FL |
NPI | 1114010907 |
---|---|
Provider Name | Dr. Michael Majid Hashemian |
First Address | Spring Hill, FL 34609 |
Second Address | Spring Hill, FL 34609 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 01/10/2020 |