Abu-Hasan, Mutasim N.

Abu-Hasan, Mutasim N. is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is his primary health care specialty. Abu-Hasan, Mutasim N. can be contacted via phone (352) 273-8379.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-3003
Phone: (352) 273-8379
Fax: (352) 392-4450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 33418 Iowa
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 33418 Iowa
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 04-33202 Kansas
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X ME107986 Florida

Profile Details

NPI number 1558356402
LBN Legal business name Abu-Hasan, Mutasim N.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Feb 8th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558356402 NPPES
Florida MEDICAID 002981400
Florida MEDICAID 0212985
Florida Other 17554

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