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Individual
SYED M HASSAN
Active
Individual
SYED M HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-112577
IL
207R00000X
Internal Medicine Physician
Primary
35.097869
OH
207R00000X
Internal Medicine Physician
35665
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0054680
—
OH
05
—
036112577
—
IL
05
—
0568980
—
IA
05
—
0568998
—
IA
01
—
104474
HEALTH ALLIANCE #
—
01
—
1241593
CONTROLLED SUBSTANCE#
IA
01
—
336073336
CONTROLLED SUBSTANCE#
IL
01
—
37768
IOWABC/BS SEEN IN RD
IA
01
—
421060724
BILLING TAX ID# FOR CHC
IA
05
—
421060724005
—
IL
01
—
421060724B2
JOHN DEERE HEALTH
IL
01
—
8122859
ILLINOIS BC/BS
IL
01
—
92087
IA BC/BS SEEN IN RI
IA
01
—
92135
IA BC/BS SEEN IN MOLINE
IA
01
—
IL01B2
JOHN DEERE EDI#
IL
Enumeration date
09/08/2005
Last updated
03/07/2023
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