Individual
SAMI BAQIR ELHASSANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E WOOD ST STE 4014, SPARTANBURG, SC 29303-3040
(864) 560-6818
(864) 560-7352
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
7992
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079925
—
SC
01
—
SC36784862
MEDICARE PIN
SC
Enumeration date
06/15/2006
Last updated
05/29/2019
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