Healthcare Provider Details

I. General information

NPI: 1629908355
Provider Name (Legal Business Name): MUHAMMAD HASSAN AHSAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 WEST MOANA LANE, UNIVERSITY OF NEVADA, RENO SCHOOL SUITE 300
RENO NV
89502
US

IV. Provider business mailing address

745 WEST MOANA LANE, UNIVERSITY OF NEVADA, RENO SCHOOL SUITE 300
RENO NV
89502
US

V. Phone/Fax

Practice location:
  • Phone: 775-682-8489
  • Fax:
Mailing address:
  • Phone: 775-682-8489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: