Healthcare Provider Details

I. General information

NPI: 1295960284
Provider Name (Legal Business Name): HASSAN MUHAMMAD ABDULLAH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2009
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5425 LANARK RD
CENTER VALLEY PA
18034-8697
US

IV. Provider business mailing address

5425 LANARK RD STE 300
CENTER VALLEY PA
18034-8697
US

V. Phone/Fax

Practice location:
  • Phone: 484-658-5437
  • Fax: 833-221-0343
Mailing address:
  • Phone: 484-658-5437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number45361
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License NumberMD473315
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.136350
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: