Hasan, Suheb Mashkoor

Hasan, Suheb Mashkoor is an sole proprietor health care provider with primary practice located at 3815 Pelham St Ste 1, Dearborn MI 48124-3852. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Hasan, Suheb Mashkoor can be contacted via phone (313) 593-3915.

Contact Information

Primary practice address
3815 Pelham St Ste 1 Dearborn MI 48124-3852
Fax: (313) 792-8812
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4301088848 Michigan

Profile Details

NPI number 1104933621
LBN Legal business name Hasan, Suheb Mashkoor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2006
Last updated Jan 5th, 2017 - 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 1104933621 NPPES
Michigan Other 1408292901 BCBS
Michigan MEDICAID 1140933621 BCBS
Michigan Other 1408292901 BCBS
Michigan Other 1408294671 BCBS
Michigan Other 1408294671 BCBS
Michigan Other 39663 BCBS
Michigan Other 0229367 BCBS
Michigan Other 166233 BCBS
Michigan Other P00632361 BCBS

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