Individual
MAHMOOD S HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
314 M 55 W, TAWAS CITY, MI 48763-9253
(989) 362-4484
Mailing address
4449 FASHION SQUARE BLVD, SAGINAW, MI 48603-5217
(989) 790-0007
(989) 790-7547
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301042747
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2108326
—
MI
Enumeration date
12/22/2005
Last updated
03/04/2008
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