Individual
DR. CHOUDHURY S HASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9712 63RD DR, SUITE-CA, REGO PARK, NY 11374-2243
(718) 830-3388
(718) 732-1667
Mailing address
9712 63RD DR, SUITE-CA, REGO PARK, NY 11374-2243
(718) 830-3388
(718) 732-1667
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
187727
NY
207RG0100X
Gastroenterology Physician
4301116720
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01324794
—
NY
01
—
2012784
AETNA
NY
Enumeration date
08/30/2006
Last updated
03/31/2025
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