Hasan, Mirza Shahzad

Hasan, Mirza Shahzad is an individual health care provider with primary practice located at 999 Illinois Ave , Maumee OH 43537-1715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hasan, Mirza Shahzad can be contacted via phone (419) 893-5591.

Contact Information

Primary practice address
999 Illinois Ave Maumee OH 43537-1715
Phone: (419) 893-5591
Fax: (419) 893-0162
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 04-27855 Kansas
Allopathic & Osteopathic Physicians / Surgery 208600000X 35.098760 Ohio

Profile Details

NPI number 1477653467
LBN Legal business name Hasan, Mirza Shahzad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Oct 8th, 2018 - about 7 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 1477653467 NPPES
Kansas MEDICAID 100332720C
Kansas MEDICAID 0072146
Kansas Other H127590
Kansas MEDICAID 100332720B

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