Basic Information
Provider Information
NPI: 1649563560
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HASSAN
FirstName: AAMIR
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1300 MICCOSUKEE RD
Address2: HOSPITALISTS GROUP
City: TALLAHASSEE
State: FL
PostalCode: 323085054
CountryCode: US
TelephoneNumber: 8504314996
FaxNumber: 8504316315
Practice Location
Address1: 1300 MICCOSUKEE RD
Address2: HOSPITALISTS GROUP
City: TALLAHASSEE
State: FL
PostalCode: 323085054
CountryCode: US
TelephoneNumber: 8504314996
FaxNumber: 8504316315
Other Information
ProviderEnumerationDate: 05/25/2011
LastUpdateDate: 09/04/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XME120373FLN Allopathic & Osteopathic PhysiciansFamily Medicine 
208M00000XME120373FLY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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