person
Dr. Tan Lucien Hassan Mohammed, MD
Diagnostic Radiology Physician in Gainesville, Florida
NPI 1063476356

Tan Lucien Hassan Mohammed is a Diagnostic Radiology Physician based in Seattle, FL and is specialized in Diagnostic Radiology. Tan Lucien Hassan Mohammed practices in Gainesville, FL and has the professional credentials of MD. The NPI Number for Tan Lucien Hassan Mohammed is 1063476356 and holds a License No. MD2022-0580 (Florida).

The current practice location address for Tan Lucien Hassan Mohammed is 1600 Sw Archer Rd # 100374, Gainesville, FL and can be reached out via phone at 352-265-0291 and via fax at 352-265-0279. You can also correspond with Tan Lucien Hassan Mohammed through the mailing address at 1100 9TH AVE, SEATTLE, WA - 98101-2756 (mailing address contact number: 206-515-5811).

Location: 1600 Sw Archer Rd # 100374, Gainesville, FL, 98101-2756
person
Provider Profile Details
NPI Number
1063476356
Provider Name
Tan Lucien Hassan Mohammed
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1600 Sw Archer Rd # 100374, Gainesville, FL, 98101-2756
Phone Number
352-265-0291
Fax Number
352-265-0279
Provider Enumeration Date
04/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0299743 01 WA LABOR & INDUSTRY
2517208 05 OH
1063476356 05 WA
012305300 05 FL
MD00123 01 WA AK DSHS
P01121104 01 WA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1600 Sw Archer Rd # 100374
City
State
Zip
32610-0374
Phone Number
352-265-0291
Fax Number
352-265-0279
person
Provider Business Mailing Address Details
Address
1600 Sw Archer Rd # 100374
City
State
Zip
32610-0374
Phone Number
352-265-0291
Fax Number
352-265-0279
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
MD2022-0580 (New Mexico)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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