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:
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Health care specialties

SpecialtyCodeLicense #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 9 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 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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