Individual
HASSAN H HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
535 N WILMOT RD, SUITE 101, TUCSON, AZ 85711-2600
(520) 694-9988
(520) 694-9917
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85706-7124
(520) 874-7400
(520) 874-3425
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
30352
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
370020880
RR MEDICARE
AZ
05
—
698839
—
AZ
Enumeration date
09/22/2006
Last updated
06/07/2011
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