Basic Information
| Provider Information | |||||||||
| NPI: | 1225001696 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HASSAN | ||||||||
| FirstName: | ZAHID | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1118 MUIRFIELD DR | ||||||||
| Address2: | |||||||||
| City: | SCHERERVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 463752958 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2193221906 | ||||||||
| FaxNumber: | 2197386671 | ||||||||
| Practice Location | |||||||||
| Address1: | 8700 BROADWAY | ||||||||
| Address2: | |||||||||
| City: | MERRILLVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 464107036 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2197385510 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/08/2006 | ||||||||
| LastUpdateDate: | 12/10/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 01049462A | IN | Y | Allopathic & Osteopathic Physicians | Emergency Medicine | 208M00000X | 01049462A | IN | N | Allopathic & Osteopathic Physicians | Hospitalist |
ID Information
| ID | Type | State | Issuer | Description | 01049462A | 05 | IN | MEDICAID | 000000279911 | 01 | IN | BCBS | OTHER | 200272810 | 05 | IN | MEDICAID | 000000576541 | 01 | IN | BCBS | OTHER |