Individual
MASUD SHAH HASHMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 E POTTAWATAMIE ST, TECUMSEH, MI 49286-2018
(517) 424-3050
(517) 424-3613
Mailing address
729 CLARK ST, TECUMSEH, MI 49286-1175
(919) 425-1565
(919) 425-0478
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2010-00485
NC
208600000X
Surgery Physician
Primary
2010-00485
NC
208600000X
Surgery Physician
34044042
OH
208600000X
Surgery Physician
4301089254
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000273571
ANTHEM
OH
01
—
020053922
RRMC
OH
01
—
04243
PHC
OH
05
—
0431741
—
OH
01
—
17-02521
UHC
OH
01
—
4092334
AETNA
OH
Enumeration date
08/30/2005
Last updated
06/06/2025
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