MEDICARE: MR. SYED W. 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	MD431253	PA
2	207RI0200X	Infectious Disease Physician	M2972	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	082109	OTHER	PA	MEDICARE PTAN/GROUP NUMBER

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	:	1750450342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SYED W. HASAN MD

Provider Business Mailing Address
First Line	:	PO BOX 58538
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-8538
Country	:	US
Telephone Number	:	832-554-1005
Fax Number	:	832-742-0455

Provider Business Practice Location Address
First Line	:	11914 ASTORIA BLVD STE 125
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-6073
Country	:	US
Telephone Number	:	832-554-1005
Fax Number	:	832-742-0455

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

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	10/15/2024

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