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1689134777

NPI Code Detail

MEDICARE: SIKDER SYEED AL HASSAN MD

MEDICARE: SIKDER SYEED AL HASSAN 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	207R00000X	Internal Medicine Physician	MD478135	PA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207R00000X	Internal Medicine Physician	317868-01	NY
4	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	59145	KY

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	:	1689134777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIKDER SYEED AL HASSAN MD

Provider Business Mailing Address
First Line	:	PO BOX 936
Second Line	:
City	:	LONDON
State	:	KY
Zip	:	40743-0936
Country	:	US
Telephone Number	:	606-330-7835
Fax Number	:	859-313-1095

Provider Business Practice Location Address
First Line	:	1401 HARRODSBURG RD STE C405
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40504-1748
Country	:	US
Telephone Number	:	859-276-4429
Fax Number	:	859-313-1095

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

Provider Enumeration Date	:	03/23/2019
Last Update Date	:	04/15/2026

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Directions to “ SIKDER SYEED AL HASSAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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