Individual ProviderHazem HawasliRadiologyAllopathic & Osteopathic PhysiciansPractice Address600 N Wolfe St, Baltimore, MD 21287-0005(410) 955-9446PECOS EnrollmentBased on the most recent information from CMS, provider Hazem Hawasli is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1497988166Provider TypeIndividualFull NameHawasli, HazemTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date8/28/2009Last Updated2/28/2013Contact InformationPractice LocationPractice Address600 N Wolfe St, Baltimore, MD 21287-0005Phone(410) 955-9446FaxUnlisted FaxMailing LocationMailing AddressPO Box 64358, Baltimore, MD 21264-4358Phone(410) 955-9446FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseD0074477MarylandCode2085R0202XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense4301090368MichiganCode2085R0202XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense15299New HampshireProvider IdentifiersIDDescriptionIssuerID055836200DescriptionMedicaidIssuerUnlistedMaryland