Individual
ALI HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2560 SAMARITAN DR OFC, LAS CRUCES, NM 88001-1170
(575) 800-3810
Mailing address
2560 SAMARITAN DR, LAS CRUCES, NM 88001-1170
(171) 831-4262
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.141987
OH
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
MD2021-0733
NM
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
U8066
TX
Other
Enumeration date
06/06/2018
Last updated
03/21/2024
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