Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 44667-020 | WI |
NPI | 1003800285 |
---|---|
Provider Name | Dr. Nosheen Hasan |
First Address | Milwaukee, WI 53210-2159 |
Second Address | Milwaukee, WI 53216-1932 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2005 |
Last Update Date | 08/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
34263600 | (05) | WI |
H79385 | (02) | WI |