Individual
HASSAAN IFTIKHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 362-5000
Mailing address
1930 E PARRISH AVE, OWENSBORO, KY 42303-1443
(270) 689-1919
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
2020011726
MO
207RN0300X
Nephrology Physician
Primary
56068
KY
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56068
KENTUCKY MEDICAL LICENSE
KY
Enumeration date
06/28/2017
Last updated
07/21/2022
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