Individual
SYED MAHMOOD HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7165 CLEARVISTA WAY, INDIANAPOLIS, IN 46256-4621
(317) 621-5100
(317) 621-7896
Mailing address
6626 E 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7561
(317) 355-6096
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us