Basic Information
Provider Information
NPI: 1992022941
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HASHMI
FirstName: ATIF
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 30 E APPLE ST
Address2: STE 5254A
City: DAYTON
State: OH
PostalCode: 454092939
CountryCode: US
TelephoneNumber: 9372084200
FaxNumber:  
Practice Location
Address1: 30 E APPLE ST
Address2: STE 5254A
City: DAYTON
State: OH
PostalCode: 454092939
CountryCode: US
TelephoneNumber: 9372084200
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/30/2010
LastUpdateDate: 08/20/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
2084N0400X35.127028OHY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

No ID Information.


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