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Individual
FARZANEH HASSANI
Active
Individual
FARZANEH HASSANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C54458
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006895400
FED BLACKLLING
WV
01
—
110247165
RAILROAD MEDICARE
—
01
—
470880846001
WV BLUESHIELD
WV
05
—
6000514000
—
WV
01
—
HA0898073
MEDICARE
—
Enumeration date
06/08/2005
Last updated
06/05/2018
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