Individual
MUHAMMAD HASSAAN IMAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
460 N ORLANDO AVE, STE 200 BLDG D, WINTER PARK, FL 32789-2988
(407) 898-5452
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
(813) 976-7895
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME127609
FL
207RX0202X
Medical Oncology Physician
Primary
ME127609
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017261000
—
FL
Enumeration date
04/26/2010
Last updated
09/02/2022
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