Individual
DR. TAN LUCIEN HASSAN MOHAMMED
Active
Individual
DR. TAN LUCIEN HASSAN MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35084772
OH
2085R0202X
Diagnostic Radiology Physician
MD2022-0580
NM
2085R0202X
Diagnostic Radiology Physician
Primary
ME120580
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012305300
—
FL
01
—
0299743
LABOR & INDUSTRY
WA
05
—
1063476356
—
WA
05
—
2517208
—
OH
01
—
MD00123
AK DSHS
WA
01
—
P01121104
RAILROAD MEDICARE
WA
Enumeration date
04/13/2006
Last updated
08/16/2024
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