Organization
M. HASSAN DIAB, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED HASSAN DIAB M.D. (PHYSICIAN)
(309) 779-7491
Entity
Organization
Contact information
Practice address
2560 24TH ST, SUITE 201, ROCK ISLAND, IL 61201-5357
(309) 779-7491
(309) 779-3093
Mailing address
2560 24TH ST, SUITE 201, ROCK ISLAND, IL 61201-5357
(309) 779-7491
(309) 779-3093
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
3651347
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008100288
BLUE CROSS BLUE SHIELD
IL
01
—
085055
HEALTH ALLIANCE
—
01
—
0984328
IOWA MEDICAID
IA
01
—
1155524
MULTIPLANS NY
—
01
—
15460
MIDLANDS CHOICE
—
01
—
171903
HEALTHLINK
—
01
—
207R00000X
TAXONOMY CODE INT MED
—
01
—
207RH0003X
TAXONOMY CODE HEM/ONCOLOG
—
01
—
98553
WELLMARK BC
IA
01
—
IL0101
UNITED HEALTHCARE
—
Enumeration date
03/26/2008
Last updated
04/20/2008
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