MEDICARE: DR. HUNAID 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	2084P0301X	Brain Injury Medicine (Psychiatry & Neurology) Physician	4301115211	MI
2	2084N0400X	Neurology Physician	4301115211	MI
3	2084N0400X	Neurology Physician	71724	WI
4	2084S0010X	Sports Medicine (Psychiatry & Neurology) Physician	4301115211	MI
5	2084N0600X	Clinical Neurophysiology Physician	4301115211	MI
6	2084P0800X	Psychiatry Physician	4301115211	MI

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	:	1578983581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HUNAID HASAN MD

Provider Business Mailing Address
First Line	:	237 DAVIS LAKE RD STE D
Second Line	:
City	:	LAPEER
State	:	MI
Zip	:	48446-1485
Country	:	US
Telephone Number	:	810-667-9132
Fax Number	:

Provider Business Practice Location Address
First Line	:	237 DAVIS LAKE RD STE B
Second Line	:
City	:	LAPEER
State	:	MI
Zip	:	48446-1485
Country	:	US
Telephone Number	:	810-667-9132
Fax Number	:

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

Provider Enumeration Date	:	04/17/2014
Last Update Date	:	03/12/2026

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Directions to “ DR. HUNAID HASAN MD” Practice Location

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