MEDICARE: DR. MONA HASSAN 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	4301098996	MI
2	207RG0100X	Gastroenterology Physician	35.135085	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366720666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONA HASSAN M.D.

Provider Business Mailing Address
First Line	:	3000 ARLINGTON AVE STOP 1108
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-2598
Country	:	US
Telephone Number	:	419-383-5322
Fax Number	:

Provider Business Practice Location Address
First Line	:	3125 TRANSVERSE DR
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614
Country	:	US
Telephone Number	:	419-383-3780
Fax Number	:	419-383-6197

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

Provider Enumeration Date	:	08/03/2011
Last Update Date	:	01/05/2026

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

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