Provider Demographics
NPI:1043659345
Name:HASSAN, SYED AZHAR (MD)
Entity Type:Individual
Prefix:
First Name:SYED
Middle Name:AZHAR
Last Name:HASSAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:620 N ED CAREY DR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-7912
Mailing Address - Country:US
Mailing Address - Phone:956-230-4971
Mailing Address - Fax:956-230-4972
Practice Address - Street 1:3761 RUBEN M TORRES SR BLVD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526
Practice Address - Country:US
Practice Address - Phone:956-230-4971
Practice Address - Fax:956-230-4972
Is Sole Proprietor?:No
Enumeration Date:2013-06-19
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301103175207R00000X
TXR3337207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine