Individual
MOHAMMAD HASSAN PERVAIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8440 WALNUT HILL LN STE 400, DALLAS, TX 75231-3879
(214) 369-3613
Mailing address
8440 WALNUT HILL LN STE 400, DALLAS, TX 75231-3879
(214) 369-3613
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
24517
WV
207RI0011X
Interventional Cardiology Physician
Primary
S3733
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073015000
—
WV
05
—
101652300
—
FL
01
—
KP245
FL MEDICARE
FL
Enumeration date
05/03/2007
Last updated
04/09/2021
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