Individual
HASSAN ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
120 HOSPITAL DR STE 300, LEBANON, MO 65536-9227
(417) 533-6746
Mailing address
120 HOSPITAL DR STE 300, LEBANON, MO 65536-9227
(417) 533-6746
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301107792
MI
208M00000X
Hospitalist Physician
Primary
2018032425
MO
Other
Enumeration date
08/07/2015
Last updated
07/27/2022
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