Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | D79346 | MD |
NPI | 1023274511 |
---|---|
Provider Name | Dr. Naveed Hasan |
First Address | Elkton, MD 21921-6395 |
Second Address | Elkton, MD 21921-5529 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2008 |
Last Update Date | 14/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
095052100 | (05) | MD |
419001Y2B | MEDICARE PTAN (01) | MD |