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NPI Code Detail

MEDICARE: MOHAMED HASSAN MD

MEDICARE: MOHAMED 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
1207Q00000XFamily Medicine Physician4351056899MI

General Provider Information

NPI Number : 1245176981
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMED HASSAN MD
Provider Business Mailing Address
First Line : 3031 W GRAND BLVD STE 600
Second Line :
City : DETROIT
State : MI
Zip : 48202-3014
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3031 W GRAND BLVD STE 600
Second Line :
City : DETROIT
State : MI
Zip : 48202-3014
Country : US
Telephone Number : 313-346-5235
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2026
Last Update Date : 05/26/2026

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Directions to “ MOHAMED HASSAN MD” Practice Location

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