Healthcare Provider Details
I. General information
NPI: 1730174632
Provider Name (Legal Business Name): HASSAN N BATAYNEH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/16/2005
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5950 W OAKLAND PARK BLVD STE 203
LAUDERHILL FL
33313-1245
US
IV. Provider business mailing address
9960 NW 116TH WAY STE 13
MEDLEY FL
33178-1175
US
V. Phone/Fax
- Phone: 954-406-0124
- Fax: 954-539-3880
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | ME119959 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084E0001X |
| Taxonomy | Epilepsy Physician |
| License Number | ME119959 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0600X |
| Taxonomy | Clinical Neurophysiology Physician |
| License Number | ME119959 |
| License Number State | FL |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084S0012X |
| Taxonomy | Sleep Medicine (Psychiatry & Neurology) Physician |
| License Number | ME119959 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: