Healthcare Provider Details

I. General information

NPI: 1962196667
Provider Name (Legal Business Name): MUHAMMAD HASSAN M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2023
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 GEORGIA AVENUE, NW, HOWARD UNIVERSITY HOSPITAL SUI, 2039
WASHINGTON DC
20060
US

IV. Provider business mailing address

2041 GEORGIA AVENUE NW HOWARD UNIVERSITY HOSPITAL SUI 2039
WASHINGTON DC
20060-0001
US

V. Phone/Fax

Practice location:
  • Phone: 202-865-7151
  • Fax:
Mailing address:
  • Phone: 202-865-7151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberD0106497
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: