Individual
DR. MOHAMED IBRAHIM HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-6428
Mailing address
PO BOX 447, DU BOIS, PA 15801-0447
(814) 372-2353
(814) 372-2353
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD431731
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019549100001
—
PA
05
—
227278
—
OR
Enumeration date
08/30/2006
Last updated
04/27/2011
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