Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 62285 | WI |
N | 111NI0900X | Internist | 62285 | WI |
NPI | 1003182890 |
---|---|
Provider Name | Hind Mohamed Elhassan |
First Address | Brookfield, WI 53045-4132 |
Second Address | Brookfield, WI 53045 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2012 |
Last Update Date | 31/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
K400236412 | (02) | WI |