Khan, Hasibul Hassan

Khan, Hasibul Hassan is an individual health care provider with primary practice located at 213 S Pine Ave , Inverness FL 34452-4830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Khan, Hasibul Hassan can be contacted via phone (352) 560-3000.

Contact Information

Primary practice address
213 S Pine Ave Inverness FL 34452-4830
Fax: (352) 419-6513
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME100419 Florida

Profile Details

NPI number 1831251446
LBN Legal business name Khan, Hasibul Hassan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Dec 29th, 2014 - about 10 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 1831251446 NPPES
Florida MEDICAID 001124800

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