Qutob, Hasan M

Qutob, Hasan M is an individual health care provider with primary practice located at 817 W High St , Jackson MI 49203-2986. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Qutob, Hasan M can be contacted via phone (734) 604-9626.

Contact Information

Primary practice address
817 W High St Jackson MI 49203-2986
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 4301070269 Michigan

Profile Details

NPI number 1285793521
LBN Legal business name Qutob, Hasan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Dec 26th, 2015 - 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 1285793521 NPPES
Michigan MEDICAID 10 4122585

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