Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 207125 | LA |
N | 207RG0300X | Geriatric Medicine | MD432495 | PA |
NPI | 1063604460 |
---|---|
Provider Name | Tahmina Hassan |
First Address | Baton Rouge, LA 70808-9153 |
Second Address | Baton Rouge, LA 70808-9153 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2007 |
Last Update Date | 19/09/2014 |