Individual
DR. ABDUL RAHMAN HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4000 HIGHLAND RD, SUITE 109, WATERFORD, MI 48328-2167
(248) 738-9500
(248) 738-9502
Mailing address
4000 HIGHLAND RD, SUITE 109, WATERFORD, MI 48328-2167
(248) 738-9500
(248) 738-9502
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301034842
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295023547
MHP GROUP NPI
MI
05
—
4145561-10
—
MI
01
—
700H273300
BCBSM GROUP PIN
MI
01
—
A74059
HAP
MI
01
—
DS0605
RAIL ROAD MEDICARE GROUP PIN
MI
Enumeration date
04/14/2006
Last updated
11/06/2014
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