Individual
SAMER S HASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
328 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017-3488
(513) 347-9999
(859) 344-4153
Mailing address
328 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017-3488
(513) 347-9999
(859) 344-4153
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
36117
KY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
36117
KY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
78581
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2205303
—
OH
05
—
64040124
—
KY
Enumeration date
06/14/2005
Last updated
03/07/2022
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