Hasan, Omar K

Hasan, Omar K is an individual health care provider with primary practice located at 24 Mallard Ct , Beckley WV 25801-3664. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Hasan, Omar K can be contacted via phone (304) 252-8409.

Contact Information

Primary practice address
24 Mallard Ct Beckley WV 25801-3664
Fax: (304) 252-0022
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 21693 West Virginia

Profile Details

NPI number 1154347607
LBN Legal business name Hasan, Omar K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Aug 12th, 2008 - about 18 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 1154347607 NPPES
West Virginia MEDICAID 3810009063

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