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Dr. Mohammed Mustafa Hasan, MD
Student in an Organized Health Care Education/Training Program in Pueblo, Colorado
NPI 1114676020

Mohammed Mustafa Hasan is a Student in an Organized Health Care Education/Training Program based in Pueblo, CO. Mohammed Mustafa Hasan practices in Pueblo, CO and has the professional credentials of MD. The NPI Number for Mohammed Mustafa Hasan is 1114676020 and holds a License No. (Colorado).

The current practice location address for Mohammed Mustafa Hasan is 400 W 16Th St, Pueblo, CO and can be reached out via phone at 719-584-4561.

Location: 400 W 16Th St, Pueblo, CO, 81003-2781
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114676020
Provider Name
Mohammed Mustafa Hasan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
400 W 16Th St, Pueblo, CO, 81003-2781
Phone Number
719-584-4561
Fax Number
Provider Enumeration Date
03/20/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 W 16Th St
City
Pueblo
State
Colorado
Zip
81003-2781
Phone Number
719-584-4561
Fax Number
person
Provider Business Mailing Address Details
Address
400 W 16Th St
City
Pueblo
State
Colorado
Zip
81003-2781
Phone Number
719-584-4561
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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