Diab, M Hassan

Diab, M Hassan is an individual health care provider with primary practice located at 2560 24Th St Suite 201, Rock Island IL 61201-5357. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Diab, M Hassan can be contacted via phone (309) 779-7491.

Contact Information

Primary practice address
2560 24Th St Suite 201 Rock Island IL 61201-5357
Fax: (309) 779-3093
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 3651347 Illinois
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 3651347 Illinois

Profile Details

NPI number 1255338588
LBN Legal business name Diab, M Hassan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jul 8th, 2007 - about 18 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 1255338588 NPPES
Illinois Other 08100288 BLUE CROSS BLUE SHIELD

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