Taki, Hassan
Taki, Hassan is an sole proprietor health care provider with primary practice located at 4424 E State Blvd , Fort Wayne IN 46815-6917. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Taki, Hassan can be contacted via phone (260) 483-4433.Contact Information
Primary practice address
4424 E State Blvd
Fort Wayne IN 46815-6917
Phone: (260) 483-4433
Fax: (260) 483-4223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 01042585 | Indiana |
Profile Details
| NPI number | 1114911807 |
|---|---|
| LBN Legal business name | Taki, Hassan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Jul 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114911807 | NPPES |
| Indiana | Other | 1924 | PHYSCIANS HEALTH PLAN |
| Indiana | MEDICAID | 3000054923 | PHYSCIANS HEALTH PLAN |
| Indiana | Other | 1659549475 | PHYSCIANS HEALTH PLAN |
| Indiana | Other | 000000091432 | PHYSCIANS HEALTH PLAN |
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