| Provider / Organization | NPI | Date Certified |
|---|---|---|
| HASAN HASABA | 1558332783 | 2024-01-07 |
Hasan Hasaba is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1558332783. Registration indicates Hasan Hasaba is a provider of access to pediatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Pediatrics (Allopathic & Osteopathic Physicians, Pediatrics) (Pediatrics, ) (Primary Care/Family Planning/APRN/PA, ) (Pediatrics, Allopathic & Osteopathic Physicians)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Hasan Hasaba M.D. |
| Practice Office Address | 15990 W 9 MILE RD STE 100 SOUTHFIELD, MI US |
| Practice Office Telephone | 2485597958 |
| Practice Office Fax | 2485599080 |
| Mailing Address | 15990 W 9 MILE RD STE 100 SOUTHFIELD, MI 480754826 US |
| Business Telephone | 2485597958 |
| Business Fax | 2485599080 |
| Code | Practice | License No State |
|---|---|---|
| 208000000X PRIMARY | Access to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Pediatrics Allopathic & Osteopathic Physicians Pediatrics Pediatrics Primary Care/Family Planning/APRN/PA Pediatrics Allopathic & Osteopathic Physicians | HH024030
MI |