Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 8144 | ND |
NPI | 1063638989 |
---|---|
Provider Name | Syed Fahim Ul Hassan |
First Address | Bismarck, ND 58504-7410 |
Second Address | Bismarck, ND 58504-7410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E61572 | (02) |