Hasanuddin, Imran

Hasanuddin, Imran is an individual health care provider with primary practice located at 701 E County Line Rd Ste 101 , Greenwood IN 46143-1070. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Hasanuddin, Imran can be contacted via phone (317) 885-2860.

Contact Information

Primary practice address
701 E County Line Rd Ste 101 Greenwood IN 46143-1070
Phone: (317) 885-2860
Fax: (317) 885-2869
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01084498A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01084498A Indiana

Profile Details

NPI number 1942409370
LBN Legal business name Hasanuddin, Imran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2007
Last updated Feb 20th, 2023 - 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 1942409370 NPPES
Indiana MEDICAID 300044297

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