Ebrahim, Hassan M

Ebrahim, Hassan M is an individual health care provider with primary practice located at 200 Avenue F Ne , Winter Haven FL 33881-4131. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Ebrahim, Hassan M can be contacted via phone (863) 292-4670.

Contact Information

Primary practice address
200 Avenue F Ne Winter Haven FL 33881-4131
Phone: (863) 292-4670
Fax: (863) 292-4671
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME 103579 Florida
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 2013-00226 North Carolina
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME 103579 Florida

Profile Details

NPI number 1306938774
LBN Legal business name Ebrahim, Hassan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Apr 7th, 2022 - about 3 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 1306938774 NPPES
South Carolina MEDICAID NC2239
South Carolina Other 180AA
South Carolina MEDICAID 1306938774

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