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NPI Code Detail

MEDICARE: DR. FARAH AKHTAR HASAN M.D.

MEDICARE: DR. FARAH AKHTAR HASAN M.D.
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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician036113046IL

General Provider Information

NPI Number : 1285665596
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FARAH AKHTAR HASAN M.D.
Provider Business Mailing Address
First Line : 150 HARVESTER DR STE 300
Second Line :
City : BURR RIDGE
State : IL
Zip : 60527-5965
Country : US
Telephone Number : 708-873-1672
Fax Number :
Provider Business Practice Location Address
First Line : 14290 S LA GRANGE RD
Second Line :
City : ORLAND PARK
State : IL
Zip : 60462-2023
Country : US
Telephone Number : 844-755-8267
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 03/17/2018

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