Provider Demographics
NPI:1538134762
Name:HASHMI, AIJAZ (MD)
Entity type:Individual
Prefix:DR
First Name:AIJAZ
Middle Name:
Last Name:HASHMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:555 E TACHEVAH DR
Mailing Address - Street 2:BLDG 1E STE 105
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-5750
Mailing Address - Country:US
Mailing Address - Phone:760-318-8100
Mailing Address - Fax:760-318-8102
Practice Address - Street 1:555 E TACHEVAH DR
Practice Address - Street 2:BLDG 1E STE 105
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-5750
Practice Address - Country:US
Practice Address - Phone:760-318-8100
Practice Address - Fax:760-318-8102
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-21
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA668142080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A668140OtherM CAL
G92018Medicare UPIN
CAZZZ028732Medicare ID - Type Unspecified