Organization
SULAIMAN B HASAN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SULAIMAN B HASAN MD (PHYSICIAN/OWNER)
(304) 720-5126
Entity
Organization
Contact information
Practice address
2345 CHESTERFIELD AVE, SUITE 307, CHARLESTON, WV 25304-1069
(304) 720-5126
(304) 720-5128
Mailing address
2345 CHESTERFIELD AVE, SUITE 307, CHARLESTON, WV 25304-1069
(304) 720-5126
(304) 720-5128
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
WV18795
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810010369
—
WV
01
—
P00422718
RAILROAD MEDICARE
WV
Enumeration date
08/21/2007
Last updated
02/14/2008
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