Healthcare Provider Details

I. General information

NPI: 1205875069
Provider Name (Legal Business Name): NOOR UL HASSAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

872 OHIO PIKE
CINCINNATI OH
45245-2204
US

IV. Provider business mailing address

PO BOX 634919
CINCINNATI OH
45263-0001
US

V. Phone/Fax

Practice location:
  • Phone: 513-947-9115
  • Fax: 513-752-6695
Mailing address:
  • Phone: 513-891-2813
  • Fax: 513-793-1032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number35-033418
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number35-033418
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: