MEDICARE: DR. PEDRO DANILO HASAS 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
1	207R00000X	Internal Medicine Physician	0101051062	VA

General Provider Information

NPI Number	:	1871560110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PEDRO DANILO HASAS M.D.

Provider Business Mailing Address
First Line	:	160 KINGSLEY LN
Second Line	:	SUITE# 205
City	:	NORFOLK
State	:	VA
Zip	:	23505-4600
Country	:	US
Telephone Number	:	757-583-4329
Fax Number	:	757-583-1770

Provider Business Practice Location Address
First Line	:	160 KINGSLEY LN
Second Line	:	SUITE# 205
City	:	NORFOLK
State	:	VA
Zip	:	23505-4600
Country	:	US
Telephone Number	:	757-583-4329
Fax Number	:	757-583-1770

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

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	02/28/2013

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