Healthcare Provider Details

I. General information

NPI: 1124955034
Provider Name (Legal Business Name): MUHAMMAD HASSAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2445 HOLLY AVE APT 309
ANNAPOLIS MD
21401-4082
US

IV. Provider business mailing address

2500 W MORELAND RD STE 1081
WILLOW GROVE PA
19090-4024
US

V. Phone/Fax

Practice location:
  • Phone: 813-511-5315
  • Fax: 230-186-4510
Mailing address:
  • Phone: 820-351-5868
  • Fax: 135-810-3555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: