Healthcare Provider Details

I. General information

NPI: 1891788188
Provider Name (Legal Business Name): ZAMIR HASSAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 10/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 S 31ST STREET-2ND FLOOR 930 WASHINGTON AVE
PHILADELPHIA PA
19146
US

IV. Provider business mailing address

1401 S 31ST ST FL 2
PHILADELPHIA PA
19146-3506
US

V. Phone/Fax

Practice location:
  • Phone: 215-925-2400
  • Fax: 215-925-9162
Mailing address:
  • Phone: 215-925-2400
  • Fax: 215-925-9162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD051350L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD051350L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: