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NPI Code Detail

MEDICARE: DR. SAQIB I HASAN M.D.

MEDICARE: DR. SAQIB I HASAN M.D.
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
1207RI0200XInfectious Disease Physician4301075652MI

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 : 1053462069
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAQIB I HASAN M.D.
Provider Business Mailing Address
First Line : PO BOX 732973
Second Line :
City : DALLAS
State : TX
Zip : 75373-2973
Country : US
Telephone Number : 817-702-8450
Fax Number :
Provider Business Practice Location Address
First Line : 1350 S MAIN ST STE 1600
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-7663
Country : US
Telephone Number : 817-702-8400
Fax Number : 817-920-3982
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2007
Last Update Date : 09/13/2018

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