Basic Information
Provider Information
NPI: 1801515564
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HASHMI
FirstName: RAHAT
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1001 ROCKVILLE PIKE
Address2: #605 WOODMONT PARK APT
City: ROCKVILLE
State: MD
PostalCode: 20852
CountryCode: US
TelephoneNumber: 2407430029
FaxNumber:  
Practice Location
Address1: 344 UNIVERSITY BLVD W
Address2:  
City: SILVER SPRING
State: MD
PostalCode: 209011948
CountryCode: US
TelephoneNumber: 8447962797
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/25/2022
LastUpdateDate: 08/25/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/25/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
122300000XDEN.00205287CON Dental ProvidersDentist 
122300000X17640MDY Dental ProvidersDentist 

No ID Information.


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