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1366857310

NPI Code Detail

MEDICARE: HASSAN HASANEIN MD

MEDICARE: HASSAN HASANEIN 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
1	207RH0000X	Hematology (Internal Medicine) Physician	ME162286	FL
2	207RX0202X	Medical Oncology Physician	ME162286	FL

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	:	1366857310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HASSAN HASANEIN MD

Provider Business Mailing Address
First Line	:	PO BOX 102222
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30368-2222
Country	:	US
Telephone Number	:	239-274-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	2895 HUELAND POND BLVD STE 100
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33543-7504
Country	:	US
Telephone Number	:	813-279-7107
Fax Number	:	813-973-1090

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

Provider Enumeration Date	:	06/29/2014
Last Update Date	:	01/27/2025

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Directions to “ HASSAN HASANEIN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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