Healthcare Provider Details

I. General information

NPI: 1912334897
Provider Name (Legal Business Name): AHMED ELHASSAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2013
Last Update Date: 07/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5323 HARRY HINES BLVD # MC9302
DALLAS TX
75390
US

IV. Provider business mailing address

RASHID HOSPITAL PO BOX 4545
DUBAI -UNITED ARAB EMIRATES -
04545
AE

V. Phone/Fax

Practice location:
  • Phone: 214-648-2762
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036139133
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberBP10055746
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: