Healthcare Provider Details

I. General information

NPI: 1568166239
Provider Name (Legal Business Name): ALIAA HASSANIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 JOHNSON RD
STEUBENVILLE OH
43952-2364
US

IV. Provider business mailing address

401 COLLEGE ST
RICHMOND VA
23298-5017
US

V. Phone/Fax

Practice location:
  • Phone: 740-264-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0101288599
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: