Healthcare Provider Details

I. General information

NPI: 1477532422
Provider Name (Legal Business Name): HASSAN HELWANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2006
Last Update Date: 03/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 JAMES S TRIMBLE BLVD
PAINTSVILLE KY
41240-1055
US

IV. Provider business mailing address

1540 SPRING VALLEY DR
HUNTINGTON WV
25704-9300
US

V. Phone/Fax

Practice location:
  • Phone: 606-789-3511
  • Fax: 606-789-1432
Mailing address:
  • Phone: 304-429-6741
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number33368
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number33368
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: