# MUTASIM N. ABU-HASAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558356402
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0201X | Pediatric Allergy/Immunology Physician | 33418 | IA | — |
| 2080P0214X | Pediatric Pulmonology Physician | 04-33202 | KS | — |
| 2080P0214X | Pediatric Pulmonology Physician | 33418 | IA | — |
| 2080P0214X | Pediatric Pulmonology Physician | ME107986 | FL | Yes |

## Other

- **Enumeration date:** 09/16/2005
- **Last updated:** 02/08/2011