MEDICARE: DR. TASNEEM FATEMA HASAN MD, MPH

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
1	2084N0400X	Neurology Physician	4301505959	MI
2	2084N0400X	Neurology Physician	M-17292	ID

General Provider Information

NPI Number	:	1801393566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TASNEEM FATEMA HASAN MD, MPH

Provider Business Mailing Address
First Line	:	237 DAVIS LAKE RD STE A
Second Line	:
City	:	LAPEER
State	:	MI
Zip	:	48446-1485
Country	:	US
Telephone Number	:	810-660-8477
Fax Number	:

Provider Business Practice Location Address
First Line	:	237 DAVIS LAKE RD STE A
Second Line	:
City	:	LAPEER
State	:	MI
Zip	:	48446-1485
Country	:	US
Telephone Number	:	810-660-8477
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2018
Last Update Date	:	09/19/2025

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