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NPI Code Detail

MEDICARE: DR. NOSHEEN HASAN MD

MEDICARE:  DR. NOSHEEN  HASAN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LA0401XAddiction Medicine (Anesthesiology) Physician44667-020WI
2208VP0014XInterventional Pain Medicine Physician44667-020WI
3207L00000XAnesthesiology Physician44667-020WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003800285
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NOSHEEN HASAN MD
Provider Business Mailing Address
First Line : 6200 W CENTER ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53210-2159
Country : US
Telephone Number : 414-444-8670
Fax Number : 414-444-8678
Provider Business Practice Location Address
First Line : 6200 W CENTER ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53210-2159
Country : US
Telephone Number : 414-444-8670
Fax Number : 414-444-8678
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2005
Last Update Date : 12/18/2025

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