MEDICARE: DR. SEEMEEN HASSAN M.D

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	0101278759	VA
2	207RG0100X	Gastroenterology Physician	V1477	TX
3	207R00000X	Internal Medicine Physician	2014022142	MO

General Provider Information

NPI Number	:	1619264033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEEMEEN HASSAN M.D

Provider Business Mailing Address
First Line	:	PO BOX 35629
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-0629
Country	:	US
Telephone Number	:	214-424-2200
Fax Number	:	214-231-2159

Provider Business Practice Location Address
First Line	:	6750 N MACARTHUR BLVD STE 207
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75039-2473
Country	:	US
Telephone Number	:	972-637-8480
Fax Number	:	972-627-4262

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

Provider Enumeration Date	:	07/06/2011
Last Update Date	:	10/14/2024

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