Individual
DR. ASHRAF M HASSANEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11950 COUNTY ROAD 101, STE 203, THE VILLAGES, FL 32162-9332
(352) 430-2580
(352) 430-2651
Mailing address
11950 COUNTY ROAD 101, STE 203, THE VILLAGES, FL 32162-9332
(352) 430-2580
(352) 430-2651
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME79632
FL
207ND0101X
MOHS-Micrographic Surgery Physician
ME79632
FL
207ND0900X
Dermatopathology Physician
ME79632
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME79632
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254328100
—
FL
01
—
68908
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
07/29/2006
Last updated
01/04/2013
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