Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 2010-00485 | NC |
N | 208200000X | Surgeon | 34044042 | OH |
N | 208600000X | Surgeon | 34044042 | OH |
Y | 208200000X | Surgeon | 4301089254 | MI |
Y | 208600000X | Surgeon | 4301089254 | MI |
NPI | 1003809633 |
---|---|
Provider Name | Masud S Hashmi |
First Address | Tecumseh, MI 49286-1175 |
Second Address | Tecumseh, MI 49286-2018 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2005 |
Last Update Date | 25/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000273571 | ANTHEM (01) | OH |
020053922 | RRMC (01) | OH |
04243 | PHC (01) | OH |
0431741 | (05) | OH |
17-02521 | UHC (01) | OH |
4092334 | AETNA (01) | OH |
C01835 | (02) | OH |