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Individual

ANSAM HASAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
UT HEALTH HOUSTON, HOUSTON, TX 77030
(713) 500-5741
Mailing address
UT HEALTH HOUSTON, 6431 FANNIN STREET, HOUSTON, TX 77030

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35141986
OH
208000000X
Pediatrics Physician
Primary
T8555
TX
208M00000X
Hospitalist Physician
35.141986
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0452757
OH
Enumeration date
03/22/2018
Last updated
01/26/2023
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