MEDICARE: DR. MAJDI N AL-HASAN 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	207RI0200X	Infectious Disease Physician	41444	KY
2	207RI0200X	Infectious Disease Physician	47834	MN
3	207RI0200X	Infectious Disease Physician	35368	SC

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477525822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAJDI N AL-HASAN MD

Provider Business Mailing Address
First Line	:	PO BOX 743904
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-3904
Country	:	US
Telephone Number	:	803-296-7320
Fax Number	:	803-293-7330

Provider Business Practice Location Address
First Line	:	115 N SUMTER ST STE 315
Second Line	:
City	:	SUMTER
State	:	SC
Zip	:	29150-4967
Country	:	US
Telephone Number	:	803-774-9787
Fax Number	:	803-774-9781

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

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	06/30/2021

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Directions to “ DR. MAJDI N AL-HASAN MD” Practice Location

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