Organization
HASAN SHAHAB, M.D., P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASAN SHAHAB MD (OWNER)
(407) 420-7952
Entity
Organization
Contact information
Practice address
10960 DYLAN LOREN CIR, ORLANDO, FL 32825-4439
(407) 420-7952
(407) 420-7953
Mailing address
PO BOX 691326, ORLANDO, FL 32869-1326
(407) 420-7952
(407) 420-7953
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME98747
FL
Other
Enumeration date
12/01/2009
Last updated
07/02/2012
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