Provider Demographics
NPI:1003885807
Name:HASSAN, SAFFANA NILUFER (MD)
Entity Type:Individual
Prefix:
First Name:SAFFANA
Middle Name:NILUFER
Last Name:HASSAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1533 HEIGHTS BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-4218
Mailing Address - Country:US
Mailing Address - Phone:713-869-4405
Mailing Address - Fax:713-869-4406
Practice Address - Street 1:1740 W 27TH ST
Practice Address - Street 2:SUITE 333
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1440
Practice Address - Country:US
Practice Address - Phone:713-869-4405
Practice Address - Fax:713-869-4406
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-15
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7748207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1780470Medicaid
TX612060Medicare ID - Type Unspecified
TX1780470Medicaid