Individual
MASHTURA HASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
96 JONATHAN LUCAS ST, CHARLESTON, SC 29425-8900
(843) 792-4638
Mailing address
40 BEE ST APT 326, CHARLESTON, SC 29403-5830
(571) 314-3004
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LL88064
SC
Other
Enumeration date
06/19/2022
Last updated
06/19/2022
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