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NPI Code Detail

MEDICARE: DR. HASAN NOUBANI M.D

MEDICARE: DR. HASAN NOUBANI 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
1174400000XSpecialist0101236665VA
22080P0202XPediatric Cardiology PhysicianL7078TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356392302
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HASAN NOUBANI M.D
Provider Business Mailing Address
First Line : 2010 S CYNTHIA ST STE 102
Second Line :
City : MCALLEN
State : TX
Zip : 78503-1387
Country : US
Telephone Number : 956-627-2330
Fax Number : 956-627-2267
Provider Business Practice Location Address
First Line : 2010 S CYNTHIA ST STE 102
Second Line :
City : MCALLEN
State : TX
Zip : 78503-1387
Country : US
Telephone Number : 956-627-2330
Fax Number : 956-627-2267
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 01/25/2023

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Directions to “ DR. HASAN NOUBANI M.D” Practice Location

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