Individual
FATIMA HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7556 CRYSTAL LAKE DRIVE CORDOVA 38016 TN, MEMPHIS, TN 38163-0001
(240) 505-2102
Mailing address
7556 CRYSTAL LAKE DRIVE CORDOVA 38016 TN, MEMPHIS, TN 38163-0001
(901) 448-5814
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
W1802
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2017
Last updated
02/03/2026
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