Provider Demographics
NPI:1487601746
Name:HASHIM, AKBER H (MD)
Entity type:Individual
Prefix:
First Name:AKBER
Middle Name:H
Last Name:HASHIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 FIVE FORKS TRICKUM RD SW
Mailing Address - Street 2:SUITE 204
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-1890
Mailing Address - Country:US
Mailing Address - Phone:770-978-7701
Mailing Address - Fax:
Practice Address - Street 1:3100 FIVE FORKS TRICKUM RD
Practice Address - Street 2:SUITE 204
Practice Address - City:LIBURN
Practice Address - State:GA
Practice Address - Zip Code:30047
Practice Address - Country:US
Practice Address - Phone:770-978-7701
Practice Address - Fax:770-978-7822
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA043638208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics