# MAHMOOD S HASAN MD P C

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

## Provider details

- **NPI number:** 1538198650
- **Authorized official:** MAHMOOD HASAN M.D. (OWNER)
- **Authorized official phone:** (989) 362-4484

## Contact information

- **Practice address:** 314 W M 55, TAWAS CITY, MI 48763-9253
- **Practice address phone:** (989) 362-4484
- **Mailing address:** 4449 FASHION SQUARE BLVD, SAGINAW, MI 48603-5217
- **Mailing address phone:** (989) 790-0007
- **Mailing address fax:** (989) 790-7547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 4301042747 | MI | Yes |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 10/12/2007