Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | ME93983 | FL |
NPI | 1013902006 |
---|---|
Provider Name | Dr. Syed Hasan Abid |
First Address | St Petersburg, FL 33709-2236 |
Second Address | St Petersburg, FL 33709-2236 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2005 |
Last Update Date | 31/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
018046000 | (05) | FL |
205364102 | (05) | MO |
35009 | BCBS FL (01) | FL |
H35868 | (02) | |
KX111 | MEDICARE (01) | FL |