Hassan, Mohammad R
Hassan, Mohammad R is an individual health care provider with primary practice located at 2000 W 21St St W7, Clovis NM 88101-4087. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Hassan, Mohammad R can be contacted via phone (575) 763-3666.Contact Information
Primary practice address
2000 W 21St St W7
Clovis NM 88101-4087
Phone: (575) 763-3666
Fax: (575) 762-3520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | L3891 | Texas |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 20030757 | New Mexico |
Profile Details
| NPI number | 1427012681 |
|---|---|
| LBN Legal business name | Hassan, Mohammad R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Jun 10th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427012681 | NPPES |
| Texas | MEDICAID | 153906603 | |
| Texas | MEDICAID | 23371340 | |
| Texas | Other | 348431307 | |
| Texas | Other | TXB123657 |
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