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NPI Code Detail

MEDICARE: DR. ELSHAD HASANOV M.D., PH.D.

MEDICARE:  DR. ELSHAD  HASANOV  M.D., PH.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
1207R00000XInternal Medicine Physician35.148641OH
2207RX0202XMedical Oncology Physician35.148641OH

General Provider Information

NPI Number : 1104277839
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELSHAD HASANOV M.D., PH.D.
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 2120
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 614-293-6196
Fax Number : 614-366-0073
Provider Business Practice Location Address
First Line : 2121 KENNY RD FL 5
Second Line :
City : COLUMBUS
State : OH
Zip : 43210-3100
Country : US
Telephone Number : 614-293-6196
Fax Number : 614-366-0073
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2016
Last Update Date : 02/27/2026

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