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Individual

DR. AHMED N HASSAN

Active
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Individual

DR. AHMED N HASSAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036121123
IL
2084N0400X
Neurology Physician
2010030926
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010030926
IL
01
206147
MEDICARE PTAN (GROUP)
IL
01
206147244
MEDICARE PTAN (INDIVIDUAL)
IL
01
CA4748
MEDICARE RAILROAD (GROUP)
IL
01
P01308445
MEDICARE RAILROAD (INDIVIDUAL)
IL
Enumeration date
08/06/2008
Last updated
02/04/2021
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