Hasan, Mirza Shahbaz
Hasan, Mirza Shahbaz is an individual health care provider with primary practice located at 8230 Walnut Hill Ln Ste 308 , Dallas TX 75231-4407. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Hasan, Mirza Shahbaz can be contacted via phone (214) 691-8306.Contact Information
Primary practice address
8230 Walnut Hill Ln Ste 308
Dallas TX 75231-4407
Phone: (214) 691-8306
Fax: (214) 691-3967
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | J6480 | Texas |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | J6480 | Texas |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | J6480 | Texas |
Profile Details
| NPI number | 1255369815 |
|---|---|
| LBN Legal business name | Hasan, Mirza Shahbaz |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Jan 13th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255369815 | NPPES |
| Tennessee | Other | 8B5309 | BCBS |
| Tennessee | Other | P00250019 | BCBS |
| Tennessee | MEDICAID | 101889705 | BCBS |
| Tennessee | MEDICAID | 101889706 | BCBS |
| Tennessee | MEDICAID | 101889703 | BCBS |
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