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NPI Code Detail

MEDICARE: DR. BASHAR HASAN MD

MEDICARE: DR. BASHAR 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1952240087
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BASHAR HASAN MD
Provider Business Mailing Address
First Line : 13001 SOUTHERN BLVD
Second Line :
City : LOXAHATCHEE
State : FL
Zip : 33470-9203
Country : US
Telephone Number : 561-905-6352
Fax Number :
Provider Business Practice Location Address
First Line : 13001 SOUTHERN BLVD
Second Line :
City : LOXAHATCHEE
State : FL
Zip : 33470-9203
Country : US
Telephone Number : 561-905-6352
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2026
Last Update Date : 03/25/2026

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