Provider Demographics
NPI:1972812774
Name:HASHMI, FAIZA (MD)
Entity type:Individual
Prefix:DR
First Name:FAIZA
Middle Name:
Last Name:HASHMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12820 S RIDGELAND AVE STE B
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-2389
Mailing Address - Country:US
Mailing Address - Phone:708-371-6009
Mailing Address - Fax:
Practice Address - Street 1:10837 S CICERO AVE STE 300
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-6459
Practice Address - Country:US
Practice Address - Phone:708-422-0636
Practice Address - Fax:708-424-2164
Is Sole Proprietor?:No
Enumeration Date:2010-09-28
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125058776207R00000X
IL036132893207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036132893Medicaid