Provider Demographics
NPI:1699760124
Name:HASHIM, MOHAMAD SHAFIK (M D)
Entity type:Individual
Prefix:DR
First Name:MOHAMAD
Middle Name:SHAFIK
Last Name:HASHIM
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 LOOKOUT DR
Mailing Address - Street 2:
Mailing Address - City:SADDLE RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07458-3315
Mailing Address - Country:US
Mailing Address - Phone:201-818-0771
Mailing Address - Fax:
Practice Address - Street 1:931 48TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2919
Practice Address - Country:US
Practice Address - Phone:718-283-8092
Practice Address - Fax:718-283-8377
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY183927207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01249325Medicaid
NY76F971Medicare PIN
NYE13564Medicare UPIN