Individual
SYED FAREED HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
89 SYLVANIA DR, DAYTON, OH 45440-3281
(937) 320-2020
(937) 320-0504
Mailing address
89 SYLVANIA DR, DAYTON, OH 45440-3281
(937) 320-2020
(937) 320-0504
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35082986
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000288505
ANTHEM
OH
01
—
0802151
UNITED HEALTHCARE
OH
01
—
1003835505
NPI
OH
05
—
2418968
—
OH
01
—
P00066602
MEDICARE RAILROAD
OH
Enumeration date
07/18/2006
Last updated
02/14/2013
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