Individual
HASSAN M ALISSA
Active
Individual
HASSAN M ALISSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
2000160315
MO
207RR0500X
Rheumatology Physician
M7820
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152268
BCBS
—
05
—
205333818
—
MO
01
—
P00152821
RAILROAD MEDICARE
—
Enumeration date
06/06/2006
Last updated
02/14/2014
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