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NPI Code Detail

MEDICARE: AHMAD FARGHALY HASSAN MD

MEDICARE: AHMAD FARGHALY HASSAN 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1073368981
Entity Type Code : Individual
Provider Name (Legal Business Name) : AHMAD FARGHALY HASSAN MD
Provider Business Mailing Address
First Line : 660 S EUCLID AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63110-1010
Country : US
Telephone Number : 314-388-5558
Fax Number :
Provider Business Practice Location Address
First Line : 660 S EUCLID AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63110-1010
Country : US
Telephone Number : 314-388-5558
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2024
Last Update Date : 02/10/2026

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Directions to “ AHMAD FARGHALY HASSAN MD” Practice Location

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