Individual
DR. HASSAN SHAHBANDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 E GRANT ST, E110, APPLETON, WI 54911-3487
(920) 729-7105
(920) 739-2609
Mailing address
3913 W PROSPECT AVE, SUITE LL1, APPLETON, WI 54914-8798
(920) 729-7105
(920) 831-8306
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
18921
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31146500
—
WI
Enumeration date
03/05/2007
Last updated
04/08/2009
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