Individual
DR. SURAYIA T HASAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
224 PROFESSIONAL PARK, BECKLEY, WV 25801-3624
(304) 255-9444
(304) 255-9447
Mailing address
224 PROFESSIONAL PARK, BECKLEY, WV 25801-3624
(304) 255-9444
(304) 255-9447
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10749
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001714922
BCBS
WV
05
—
0074965000
—
WV
01
—
100285
DOL
WV
01
—
1039817
WORKMANS COMPENSATION
WV
01
—
1086111
UMWA
WV
01
—
110146642
110146642
WV
01
—
P00392418
RAIL ROAD MEDICARE
WV
Enumeration date
09/20/2006
Last updated
01/09/2025
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