Individual
SHAHZAD HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10401 W THUNDERBIRD BLVD, SUITE M434, SUN CITY, AZ 85351-3004
(623) 876-5622
(623) 815-2391
Mailing address
PO BOX 53568, SUN HEALTH CLINICS & PHYSICIAN SERVICES, PHOENIX, AZ 85072-3568
(623) 544-5070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33716
AZ
207R00000X
Internal Medicine Physician
43205
CO
207R00000X
Internal Medicine Physician
98-71
NM
208M00000X
Hospitalist Physician
33716
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
764234
—
AZ
Enumeration date
06/06/2006
Last updated
10/18/2024
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