Individual
DR. HANS HASSAN MOOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4600 MEMORIAL DR STE 120, BELLEVILLE, IL 62226-5359
(618) 825-9272
(618) 222-1039
Mailing address
4600 MEMORIAL DR STE 160, BELLEVILLE, IL 62226-5359
(618) 825-9272
(618) 222-1039
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
036-073250
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036073250
—
IL
Enumeration date
06/14/2006
Last updated
09/25/2025
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