Hasan, Choudhury S

Hasan, Choudhury S is an sole proprietor health care provider with primary practice located at 9712 63Rd Dr Suite-Ca, Rego Park NY 11374-2243. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Hasan, Choudhury S can be contacted via phone (718) 830-3388.

Contact Information

Primary practice address
9712 63Rd Dr Suite-Ca Rego Park NY 11374-2243
Phone: (718) 830-3388
Fax: (718) 732-1667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 187727 New York

Profile Details

NPI number 1629187752
LBN Legal business name Hasan, Choudhury S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jul 21st, 2008 - about 16 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 1629187752 NPPES
New York Other 2012784 AETNA
New York MEDICAID 01324794 AETNA

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