Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 226235 | MA |
N | 111NI0900X | Internist | 226235 | MA |
N | 207RH0000X | Hematologist | 226235 | MA |
Y | 207RH0003X | Hematology & Oncology | MD188156 | OR |
N | 207RX0202X | Medical Oncology | 226235 | MA |
NPI | 1366489569 |
---|---|
Provider Name | Amr R. Hassan |
First Address | Klamath Falls, OR 97601-1106 |
Second Address | Klamath Falls, OR 97601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 12/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A3967001 | PTAN (01) | MA |
A3967002 | PTAN (01) | MA |