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Organization
M. HASSAN DIAB, M.D., S.C.
Active
Organization
M. HASSAN DIAB, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED HASSAN DIAB M.D. (PHYSICIAN)
(309) 779-7491
Entity
Organization
Contact information
Practice address
2560 24TH ST, SUITE 201, ROCK ISLAND, IL 61201-5357
(309) 779-7491
(309) 779-3093
Mailing address
2560 24TH ST, SUITE 201, ROCK ISLAND, IL 61201-5357
(309) 779-7491
(309) 779-3093
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
3651347
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008100288
BLUE CROSS BLUE SHIELD
IL
01
—
085055
HEALTH ALLIANCE
—
01
—
0984328
IOWA MEDICAID
IA
01
—
1155524
MULTIPLANS NY
—
01
—
15460
MIDLANDS CHOICE
—
01
—
171903
HEALTHLINK
—
01
—
207R00000X
TAXONOMY CODE INT MED
—
01
—
207RH0003X
TAXONOMY CODE HEM/ONCOLOG
—
01
—
98553
WELLMARK BC
IA
01
—
IL0101
UNITED HEALTHCARE
—
Enumeration date
03/26/2008
Last updated
04/20/2008
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