Individual
DR. MOHAMED HASSAN HALANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1465 S GRAND BLVD, ROOM 1206, SAINT LOUIS, MO 63104-1003
(314) 577-5634
(314) 577-5616
Mailing address
4485 BARAT HALL DR, APT. C1, SAINT LOUIS, MO 63108-2557
(908) 875-3508
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
70739
MN
208M00000X
Hospitalist Physician
Primary
70739
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2009
Last updated
08/22/2022
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