Hassan, Mohamed Ibrahim

Hassan, Mohamed Ibrahim is an individual health care provider with primary practice located at 100 Hospital Ave , Du Bois PA 15801-1440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Hassan, Mohamed Ibrahim can be contacted via phone (814) 375-6428.

Contact Information

Primary practice address
100 Hospital Ave Du Bois PA 15801-1440
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MD431731 Pennsylvania

Profile Details

NPI number 1629187844
LBN Legal business name Hassan, Mohamed Ibrahim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Apr 27th, 2011 - about 13 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 1629187844 NPPES
Oregon MEDICAID 227278
Oregon MEDICAID 1019549100001

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