Individual
YUSUF HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
726 GAIL GARDNER WAY, SUITE A, PRESCOTT, AZ 86305-2314
(928) 778-0309
(928) 778-2678
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(928) 771-0304
(928) 778-5742
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
44102
AZ
207RC0000X
Cardiovascular Disease Physician
Primary
E-13254
AR
207RI0011X
Interventional Cardiology Physician
44102
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
588914
—
AZ
Enumeration date
06/22/2009
Last updated
03/07/2023
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