Provider Demographics
NPI:1528142759
Name:SYMPHONY MEDICAL ASSOCIATES, PA
Entity type:Organization
Organization Name:SYMPHONY MEDICAL ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHOAIB
Authorized Official - Middle Name:A
Authorized Official - Last Name:HASHMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-383-2072
Mailing Address - Street 1:821 N EUTAW ST
Mailing Address - Street 2:308
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-4648
Mailing Address - Country:US
Mailing Address - Phone:410-383-2072
Mailing Address - Fax:410-669-6067
Practice Address - Street 1:821 N EUTAW ST
Practice Address - Street 2:308
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-4648
Practice Address - Country:US
Practice Address - Phone:410-383-2072
Practice Address - Fax:410-669-6067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD901901400Medicaid
MDKAN7SHOtherBCBS