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NPI Code Detail

MEDICARE: DR. HANAN NANIPARUTHAYIL HASSAN

MEDICARE: DR. HANAN NANIPARUTHAYIL HASSAN
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
1390200000XStudent in an Organized Health Care Education/Training ProgramFL

General Provider Information

NPI Number : 1609708932
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HANAN NANIPARUTHAYIL HASSAN
Provider Business Mailing Address
First Line : 15184 SW 110TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33196-2504
Country : US
Telephone Number : 720-680-4753
Fax Number :
Provider Business Practice Location Address
First Line : 1475 W 49TH PL
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3113
Country : US
Telephone Number : 720-680-4753
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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