Individual
DR. MALIK M HASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1607 N ELIZABETH ST, PUEBLO, CO 81003-2146
(719) 544-6938
(719) 542-9460
Mailing address
1607 N ELIZABETH ST, PUEBLO, CO 81003-2146
(719) 544-6938
(719) 542-9460
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
19290
CO
2084N0600X
Clinical Neurophysiology Physician
19290
CO
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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