Hasan, Tarik K

Hasan, Tarik K is an sole proprietor health care provider with primary practice located at 1082 E Brandon Blvd , Brandon FL 33511-5509. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Hasan, Tarik K can be contacted via phone (813) 689-9900.

Contact Information

Primary practice address
1082 E Brandon Blvd Brandon FL 33511-5509
Phone: (813) 689-9900
Fax: (813) 653-9696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME69066 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME69066 Florida

Profile Details

NPI number 1770579567
LBN Legal business name Hasan, Tarik K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2005
Last updated Feb 8th, 2024 - about 9 months 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 1770579567 NPPES
Florida MEDICAID 378585800

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