Individual
HASSAN MONFARED
Active
Individual
HASSAN MONFARED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
063881
GA
208100000X
Physical Medicine & Rehabilitation Physician
25816
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009934601
—
AL
05
—
009955495
—
AL
05
—
009959725
—
AL
05
—
009959735
—
AL
01
—
05020836
MISSISSIPPI MEDICAID
MS
01
—
051522064
BLUE CROSS
AL
01
—
051522066
BLUE CROSS
AL
01
—
051522067
BLUE CROSS
AL
01
—
051522084
BLUE CROSS
AL
01
—
051522085
BLUE CROSS
AL
01
—
051532023
BLUE CROSS
AL
Enumeration date
07/03/2006
Last updated
03/17/2018
Update your record
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