Individual
DR. MOHAMMED HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1068
(863) 687-1069
Mailing address
1324 LAKELAND HILLS BLVD, MANAGE CARE DEPT, LAKELAND, FL 33805
(863) 687-1100
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35.086907
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
4301097735
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD2013-0056
NM
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME102306
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
R8008
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083877682
—
MI
Enumeration date
07/03/2008
Last updated
07/17/2022
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