Individual
DR. AMATUL SUBOOH HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
701 PARK AVE, HENNEPIN COUNTY MEDICAL CENTER - DEPT OF CARDIOLOGY, MINNEAPOLIS, MN 55415-1623
(510) 449-5493
Mailing address
648 WILLOUGHBY WAY W, MINNETONKA, MN 55305-5352
(510) 449-5493
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A115244
CA
Other
Enumeration date
03/07/2011
Last updated
12/17/2021
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