Individual
MUHAMMAD SAJJAD HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 PROSPECT AVE, INFECTIOUS DISEASE CONSULTANTS, SYRACUSE, NY 13203-1807
(315) 448-6253
(315) 448-6264
Mailing address
301 PROSPECT AVE, INFECTIOUS DISEASE CONSULTANTS, SYRACUSE, NY 13203-1807
(315) 448-6253
(315) 448-6264
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
236040
NY
207RI0200X
Infectious Disease Physician
Primary
236040
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02781506
—
NY
01
—
P00616206
RR MEDICARE PTAN
—
Enumeration date
10/09/2006
Last updated
09/24/2008
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