Individual
MOHSIN HASNAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
Mailing address
3633 HERON PRESERVE TRAIL, FORT WAYNE, IN 46814-7593
(260) 625-9982
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01063362A
IN
207R00000X
Internal Medicine Physician
114591
MO
208M00000X
Hospitalist Physician
01063362A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200294350
—
IN
Enumeration date
04/17/2006
Last updated
08/31/2021
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