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NPI Code Detail

MEDICARE: DR. SYED WAQAR HASAN M.D

MEDICARE: DR. SYED WAQAR HASAN 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
12084P0800XPsychiatry PhysicianME96486FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P01244727OTHERFLRAILROAD MCR
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952325029
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SYED WAQAR HASAN M.D
Provider Business Mailing Address
First Line : 7074 GROVE RD
Second Line : STE 201
City : BROOKSVILLE
State : FL
Zip : 34609-8658
Country : US
Telephone Number : 352-540-9335
Fax Number :
Provider Business Practice Location Address
First Line : 7074 GROVE RD
Second Line :
City : BROOKSVILLE
State : FL
Zip : 34609-8658
Country : US
Telephone Number : 352-540-9335
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 10/16/2019

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