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NPI Code Detail

MEDICARE: HASAN SHAHAB M.D.

MEDICARE:   HASAN  SHAHAB  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
1207RN0300XNephrology PhysicianME98747FL

General Provider Information

NPI Number : 1134320500
Entity Type Code : Individual
Provider Name (Legal Business Name) : HASAN SHAHAB M.D.
Provider Business Mailing Address
First Line : PO BOX 691326
Second Line :
City : ORLANDO
State : FL
Zip : 32869-1326
Country : US
Telephone Number : 407-420-7952
Fax Number : 407-420-7953
Provider Business Practice Location Address
First Line : 10960 DYLAN LOREN CIR
Second Line :
City : ORLANDO
State : FL
Zip : 32825-4439
Country : US
Telephone Number : 407-420-7952
Fax Number : 407-420-7953
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2007
Last Update Date : 07/02/2012

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