Individual
SYED MAHMOOD HASAN
Active
Individual
SYED MAHMOOD HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01057120A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000653878
ANTHEM
IN
01
—
000000721882
ANTHEM
IN
01
—
000000983429
ANTHEM PIN
IN
05
—
200858960
—
IN
01
—
244724
VALUE OPTIONS
IN
01
—
284745
MANAGED HEALTH NETWORK
IN
05
—
71255583
—
NM
01
—
P01191764
RR MEDICARE PTAN
IN
Enumeration date
07/07/2006
Last updated
10/03/2022
Update your record
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