Individual
DR. SUHEB MASHKOOR HASAN
Active
Individual
DR. SUHEB MASHKOOR HASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301088848
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0229367
DEPT OF LABOR
MI
05
—
1140933621
—
MI
01
—
1408292901
BCBS
MI
01
—
1408294671
BC
MI
01
—
166233
GREAT LAKES
MI
01
—
39663
HEALTH PLAN OF MI
MI
01
—
P00632361
RAILROAD MEDICARE
MI
Enumeration date
08/23/2006
Last updated
01/05/2017
Update your record
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