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General NPI Number Information
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NPI Number | 1457668139
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Entity Type | Individual
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Provider Name | HASSAN A ELHEWAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/02/2010
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 8885 STATE ROAD 237
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City | TELL CITY
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State | IN
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Zip | 47586-8567
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Country | US
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Telephone | 812-547-7011
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 S FISKE BLVD
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City | ROCKLEDGE
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State | FL
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Zip | 32955-4306
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Country | US
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Telephone | 321-434-1771
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 79569
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD454459
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME115741
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME115741
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License Number State | FL
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