Individual
MOHAMMED A. HASEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS, MSC, MSC
Contact information
Practice address
175 N MEDICAL DR RM 5323, SALT LAKE CITY, UT 84112-1103
(801) 581-2121
Mailing address
175 N MEDICAL DR RM 5323, SALT LAKE CITY, UT 84112-1103
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
13998569-1205
UT
Other
Enumeration date
05/04/2023
Last updated
03/10/2025
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