Individual
SAMEENA SHIREEN HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1315 EAST BLVD, SUITE 280, CHARLOTTE, NC 28203-5975
(704) 384-1866
(704) 384-1867
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7283
(704) 316-0508
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200401496
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13875
BCBS
NC
05
—
5901118
—
NC
05
—
N96005
—
SC
Enumeration date
07/05/2006
Last updated
06/15/2023
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