Moosa, Hans Hassan

Moosa, Hans Hassan is an individual health care provider with primary practice located at 4600 Memorial Dr Ste 120 , Belleville IL 62226-5359. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Moosa, Hans Hassan can be contacted via phone (618) 222-1020.

Contact Information

Primary practice address
4600 Memorial Dr Ste 120 Belleville IL 62226-5359
Phone: (618) 222-1020
Fax: (618) 222-1039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 036-073250 Illinois

Profile Details

NPI number 1194768432
LBN Legal business name Moosa, Hans Hassan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Mar 25th, 2022 - about 2 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 1194768432 NPPES
Illinois MEDICAID 036073250

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