Healthcare Provider Details
I. General information
NPI: 1124729652
Provider Name (Legal Business Name): ABBAS HASNAIN, MD, JD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/13/2023
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
685 W ALLUVIAL AVE STE 103
FRESNO CA
93711-5779
US
IV. Provider business mailing address
685 W ALLUVIAL AVE STE 103
FRESNO CA
93711-5779
US
V. Phone/Fax
- Phone: 559-499-1233
- Fax: 559-499-1232
- Phone: 559-499-1233
- Fax: 559-499-1232
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ABBAS
SYED
HASNAIN
Title or Position: OWNER
Credential: MD
Phone: 559-333-1243