Hassan, Imran

Hassan, Imran is an individual health care provider with primary practice located at 315 W Carpenter St 2 Nd Floor, Springfield IL 62702-4901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Hassan, Imran can be contacted via phone (217) 545-1025.

Contact Information

Primary practice address
315 W Carpenter St 2 Nd Floor Springfield IL 62702-4901
Phone: (217) 545-1025
Fax: (217) 545-0952
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 41912 Minnesota

Profile Details

NPI number 1023088978
LBN Legal business name Hassan, Imran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Oct 24th, 2012 - about 12 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 1023088978 NPPES
Illinois MEDICAID 036116661
Illinois MEDICAID 333677800

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