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Individual

DR. ATIA SHIREEN HASHIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
311 W COUNTRY CLUB RD, STE 1, ROSWELL, NM 88201-5839
(575) 623-2836
(575) 623-2841
Mailing address
311 W COUNTRY CLUB RD, STE 1, ROSWELL, NM 88201-5839
(575) 623-2836
(575) 623-2841

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
35.142228
OH
207RG0100X
Gastroenterology Physician
MD0728731
PA
207RG0100X
Gastroenterology Physician
Primary
MD2015-0409
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0003093101
AMERICHOICE
PA
05
101365260
PA
01
13361
HEALTH PARTNERS
PA
01
16079
BRAVO ELDER HEALTH
PA
01
1789361
HIGHMARK
PA
01
2626477000
INDEPENDENCE BLUE CROSS
PA
01
30027180
KEYSTONE MERCY
PA
05
45854823
NM
01
P00294987
RR MEDICARE
PA
Enumeration date
12/14/2005
Last updated
06/09/2021
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