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Dr. Suheb Mashkoor Hasan, MD
Neurology Physician in Dearborn, Michigan
NPI 1104933621

Suheb Mashkoor Hasan is a Neurology Physician based in Dearborn, MI and is specialized in Neurology. Suheb Mashkoor Hasan practices in Dearborn, MI and has the professional credentials of MD. The NPI Number for Suheb Mashkoor Hasan is 1104933621 and holds a License No. 4301088848 (Michigan).

The current practice location address for Suheb Mashkoor Hasan is 3815 Pelham St, Dearborn, MI and can be reached out via phone at 313-593-3915 and via fax at 313-792-8812.

Location: 3815 Pelham St, Dearborn, MI, 48124-3852
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104933621
Provider Name
Suheb Mashkoor Hasan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3815 Pelham St, Dearborn, MI, 48124-3852
Phone Number
313-593-3915
Fax Number
313-792-8812
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1408292901 01 MI BCBS
1140933621 05 MI
1408292901 01 MI BCN
1408294671 01 MI BC
1408294671 01 MI BCN
39663 01 MI HEALTH PLAN OF MI
0229367 01 MI DEPT OF LABOR
166233 01 MI GREAT LAKES
P00632361 01 MI RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
3815 Pelham St
City
Dearborn
State
Michigan
Zip
48124-3852
Phone Number
313-593-3915
Fax Number
313-792-8812
person
Provider Business Mailing Address Details
Address
3815 Pelham St
City
Dearborn
State
Michigan
Zip
48124-3852
Phone Number
313-593-3915
Fax Number
313-792-8812
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
4301088848 (Michigan)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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