Healthcare Provider Details

I. General information

NPI: 1144855131
Provider Name (Legal Business Name): HASAN & HASAN NEUROLOGY GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2020
Last Update Date: 03/29/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 DAVIS LAKE RD STE B
LAPEER MI
48446-1485
US

IV. Provider business mailing address

237 DAVIS LAKE RD STE B
LAPEER MI
48446-1485
US

V. Phone/Fax

Practice location:
  • Phone: 810-667-9132
  • Fax: 810-667-0026
Mailing address:
  • Phone: 810-667-9132
  • Fax: 810-667-0026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HUNAID HASAN
Title or Position: PRESIDENT
Credential: MD
Phone: 810-667-9132