MEDICARE: DR. HASSAN ALHOSAINI 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
1	207R00000X	Internal Medicine Physician	200100826	NC
2	207RC0000X	Cardiovascular Disease Physician	200100826	NC
3	207RA0001X	Advanced Heart Failure and Transplant Cardiology Physician	200100826	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	110240182	OTHER	NC	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7312277	OTHER	NC	ATENA
3	129E8	OTHER	NC	BCBS
4	2837945	OTHER	NC	CIGNA
5	B8899	OTHER	NC	MEDCOST
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144200734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HASSAN ALHOSAINI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 751803
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28275-1803
Country	:	US
Telephone Number	:	336-718-6199
Fax Number	:	336-718-6190

Provider Business Practice Location Address
First Line	:	2025 FRONTIS PLAZA BLVD STE 100
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-5663
Country	:	US
Telephone Number	:	336-718-6199
Fax Number	:	336-719-6190

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

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	07/29/2024

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Directions to “ DR. HASSAN ALHOSAINI M.D.” Practice Location

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