MEDICARE: ZAHOORUL HASSAN

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
1	207R00000X	Internal Medicine Physician	4301094866	MI

General Provider Information

NPI Number	:	1033341060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZAHOORUL HASSAN

Provider Business Mailing Address
First Line	:	40592 TAMARACK DR
Second Line	:	APT#204
City	:	CANTON
State	:	MI
Zip	:	48188-2828
Country	:	US
Telephone Number	:	734-560-9451
Fax Number	:

Provider Business Practice Location Address
First Line	:	40592 TAMARACK DR
Second Line	:	APT#204
City	:	CANTON
State	:	MI
Zip	:	48188-2828
Country	:	US
Telephone Number	:	734-560-9451
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2009
Last Update Date	:	05/06/2025

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Directions to “ ZAHOORUL HASSAN ” Practice Location

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