Individual
JOSEPH KEN HASSOUN
Active
Individual
JOSEPH KEN HASSOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35078819H
OH
207L00000X
Anesthesiology Physician
37537
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000257481
ANTHEM BLUE SHIELD
—
01
—
000000634027
ANTHEM
—
05
—
200402560
—
IN
05
—
2363571
—
OH
01
—
311585770
TAX ID
—
01
—
5296039
CIGNA
—
01
—
64058472
MEDICAID
KY
Enumeration date
11/16/2005
Last updated
12/01/2009
Update your record
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