Basic Information
| Provider Information | |||||||||
| NPI: | 1295851954 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HASSANI | ||||||||
| FirstName: | MORAD | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5225 POOKS HILL RD 610N | ||||||||
| Address2: | 2ND FLOOR | ||||||||
| City: | BETHESDA | ||||||||
| State: | MD | ||||||||
| PostalCode: | 208141504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3018523145 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2141 K ST NW STE 707 | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200371810 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2022938680 | ||||||||
| FaxNumber: | 2022938694 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/22/2007 | ||||||||
| LastUpdateDate: | 12/08/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 12/08/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0200X | 237163 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease | 207RI0200X | MD041718 | DC | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
ID Information
| ID | Type | State | Issuer | Description | MD041718 | 01 | DC | LICENSE NUMBER | OTHER | FH0030887 | 01 | DEA NUMBER | OTHER | 237163 | 01 | NY | LICENSE NUMBER | OTHER | D0076849 | 01 | MD | LICENSE NUMBER | OTHER |