Individual
DR. SHAKEB HASHMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W TYLER AVE, CRITTENDEN REGIONAL HOSPITAL, WEST MEMPHIS, AR 72301-4223
(870) 735-1500
(870) 400-2644
Mailing address
6359 MASSEY MANOR LN W, MEMPHIS, TN 38120-1400
(214) 991-4259
(870) 400-2644
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E-0362
AR
207P00000X
Emergency Medicine Physician
K9562
TX
207R00000X
Internal Medicine Physician
Primary
E-0362
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130028001
—
AR
01
—
5K247
AR BCBS
AR
Enumeration date
06/09/2006
Last updated
11/08/2011
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