Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD60876991 | WA |
Y | 207XS0117X | Orthopaedic Spine Surgeon | A149350 | CA |
N | 207XS0117X | Orthopaedic Spine Surgeon | MD192346 | OR |
N | 207XS0117X | Orthopaedic Spine Surgeon | MD60876991 | WA |
NPI | 1275894214 |
---|---|
Provider Name | Dr. Saqib Hasan |
First Address | San Ramon, CA 94583-1524 |
Second Address | San Ramon, CA 94583-1524 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2012 |
Last Update Date | 24/02/2020 |