Provider Demographics
NPI:1063741866
Name:HASHIME, HOMA (LAC, MAC, DIPLAC)
Entity type:Individual
Prefix:MRS
First Name:HOMA
Middle Name:
Last Name:HASHIME
Suffix:
Gender:F
Credentials:LAC, MAC, DIPLAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10531 KNOLLWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20111-2833
Mailing Address - Country:US
Mailing Address - Phone:703-606-5610
Mailing Address - Fax:
Practice Address - Street 1:10531 KNOLLWOOD DR
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20111-2833
Practice Address - Country:US
Practice Address - Phone:703-606-5610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-08
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121000683171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist