Individual
DR. HASAN SHAKOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 FAIRMOUNT AVE STE 500, TOWSON, MD 21286-5466
(410) 494-1662
(410) 494-1718
Mailing address
501 FAIRMOUNT AVE STE 103, TOWSON, MD 21286-5457
(410) 494-7920
(410) 902-8247
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57009723
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
57009723
OH
207RP1001X
Pulmonary Disease Physician
Primary
57009723
OH
207RS0012X
Sleep Medicine (Internal Medicine) Physician
D74214
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
242462ZB6F
MEDICARE PTAN
MD
05
—
418515300
—
MD
Enumeration date
08/14/2007
Last updated
07/21/2022
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