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NPI Code Detail

MEDICARE: HASSAN ABOUMERHI M.D.

MEDICARE: HASSAN ABOUMERHI 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
1207L00000XAnesthesiology Physician036153171IL
2207LP2900XPain Medicine (Anesthesiology) Physician35.148781OH
3390200000XStudent in an Organized Health Care Education/Training ProgramOH
4207LP2900XPain Medicine (Anesthesiology) Physician125067937IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
135.148781OTHEROHOHIO MEDICAL LICENSURE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336528637
Entity Type Code : Individual
Provider Name (Legal Business Name) : HASSAN ABOUMERHI M.D.
Provider Business Mailing Address
First Line : 251 E HURON ST # F5-704
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2908
Country : US
Telephone Number : 312-695-0116
Fax Number :
Provider Business Practice Location Address
First Line : 5841 S MARYLAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60637-1443
Country : US
Telephone Number : 888-824-0200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2015
Last Update Date : 12/17/2025

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