Individual
FAIQ HASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3500 VIRGINIA BEACH BLVD, SUITE 100, VIRGINIA BEACH, VA 23452-4445
(757) 831-5349
(757) 495-3917
Mailing address
3500 VIRGINIA BEACH BLVD, SUITE 100, VIRGINIA BEACH, VA 23452-4445
(757) 831-5349
(757) 495-3917
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101245150
VA
208M00000X
Hospitalist Physician
MD.201703
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1067342
—
LA
Enumeration date
09/25/2007
Last updated
10/21/2010
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