MEDICARE: DR. YAZAN Z HASAN MBBS

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	207RG0100X	Gastroenterology Physician	65663	TN
2	207RG0100X	Gastroenterology Physician	MD472770	PA

General Provider Information

NPI Number	:	1386999431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YAZAN Z HASAN MBBS

Provider Business Mailing Address
First Line	:	2755 NEW SALEM HWY STE 200A
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37128-5253
Country	:	US
Telephone Number	:	629-218-6780
Fax Number	:	629-218-6782

Provider Business Practice Location Address
First Line	:	2755 NEW SALEM HWY STE 200A
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37128-5253
Country	:	US
Telephone Number	:	629-218-6780
Fax Number	:	629-218-6782

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

Provider Enumeration Date	:	07/16/2012
Last Update Date	:	07/11/2022

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