Healthcare Provider Details

I. General information

NPI: 1376457135
Provider Name (Legal Business Name): HASSEN MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37834 SCOTSDALE CIR APT 302
WESTLAND MI
48185-5731
US

IV. Provider business mailing address

37834 SCOTSDALE CIR APT 302
WESTLAND MI
48185-5731
US

V. Phone/Fax

Practice location:
  • Phone: 810-523-8233
  • Fax:
Mailing address:
  • Phone: 810-523-8233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: KASIM OSMAN HASSEN
Title or Position: OWNER / SOLE MEMBER
Credential: MD
Phone: 810-523-8233