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NPI Code Detail

MEDICARE: SAMIA HASAN MD

MEDICARE: SAMIA 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
12084P0800XPsychiatry Physician35-070907OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000300107OTHEROHANTHEM BC & BS

General Provider Information

NPI Number : 1528166139
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMIA HASAN MD
Provider Business Mailing Address
First Line : 23230 CHAGRIN BLVD
Second Line : SUITE 350
City : BEACHWOOD
State : OH
Zip : 44122-5446
Country : US
Telephone Number : 216-831-2900
Fax Number : 216-831-4306
Provider Business Practice Location Address
First Line : 23230 CHAGRIN BLVD
Second Line : SUITE 350
City : BEACHWOOD
State : OH
Zip : 44122-5446
Country : US
Telephone Number : 216-831-2900
Fax Number : 216-831-4306
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 07/08/2007

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