Individual
DR. SYED WAQAR HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
7074 GROVE RD, BROOKSVILLE, FL 34609-8658
(352) 540-9335
Mailing address
7074 GROVE RD, STE 201, BROOKSVILLE, FL 34609-8658
(352) 540-9335
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME96486
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01244727
RAILROAD MCR
FL
Enumeration date
07/26/2006
Last updated
10/16/2019
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