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NPI Code Detail

MEDICARE: SHAH HASAN PLMHP

MEDICARE: SHAH HASAN PLMHP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist166001348IL
2101YM0800XMental Health Counselor11850NE
3106H00000XMarriage & Family Therapist0717001774VA

General Provider Information

NPI Number : 1205492907
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAH HASAN PLMHP
Provider Business Mailing Address
First Line : 988102 NEBRASKA MEDICAL CTR
Second Line :
City : OMAHA
State : NE
Zip : 68198-8102
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 139 S 40TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68131-3003
Country : US
Telephone Number : 402-559-0390
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2019
Last Update Date : 04/14/2026

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Directions to “ SHAH HASAN PLMHP” Practice Location

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