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Individual

DR. SAMAD NASARYAB HASSAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
17571 N DAM ACCESS RD, WARSAW, MO 65355-6396
(888) 403-1071
(660) 428-1283
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2017022854
MO
2084P0800X
Psychiatry Physician
322713
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2017022854
MO
2084P0804X
Child & Adolescent Psychiatry Physician
322713
NY

Other

Enumeration date
07/14/2014
Last updated
12/05/2024
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