Basic Information
| Provider Information | |||||||||
| NPI: | 1417392283 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HASHAVIA | ||||||||
| FirstName: | EYAL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 53RD ARLOZOROV ST. APT.9 | ||||||||
| Address2: | |||||||||
| City: | PETACH TIKVA | ||||||||
| State: | PETACH TIKVA | ||||||||
| PostalCode: | 49453 | ||||||||
| CountryCode: | IL | ||||||||
| TelephoneNumber: | 972532842004 | ||||||||
| FaxNumber: | 97235302258 | ||||||||
| Practice Location | |||||||||
| Address1: | 1611 NW 12TH AVE | ||||||||
| Address2: | JACKSON MEMORIAL HOSPITAL - GENERAL SURGERY HOUSE STAFF | ||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331361005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055851280 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/07/2013 | ||||||||
| LastUpdateDate: | 05/07/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.