# SULAIMAN B HASAN MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437342714
- **Authorized official:** SULAIMAN B HASAN MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (304) 720-5126

## Contact information

- **Practice address:** 2345 CHESTERFIELD AVE, SUITE 307, CHARLESTON, WV 25304-1069
- **Practice address phone:** (304) 720-5126
- **Practice address fax:** (304) 720-5128
- **Mailing address:** 2345 CHESTERFIELD AVE, SUITE 307, CHARLESTON, WV 25304-1069
- **Mailing address phone:** (304) 720-5126
- **Mailing address fax:** (304) 720-5128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | WV18795 | WV | Yes |

## Other

- **Enumeration date:** 08/21/2007
- **Last updated:** 02/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3810010369 | — | WV |
| 01 | — | P00422718 | RAILROAD MEDICARE | WV |