Individual
SEBA HASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6420 CLAYTON RD, RICHMOND HEIGHTS, MO 63117-1811
(314) 768-8000
Mailing address
1716 STIFEL LANE DR, CHESTERFIELD, MO 63017-8046
(216) 316-9971
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2020019630
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2020019630
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2017
Last updated
07/14/2022
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