Provider Demographics
NPI:1164840724
Name:HASNAIN, ABBAS SYED (MD, JD)
Entity Type:Individual
Prefix:DR
First Name:ABBAS
Middle Name:SYED
Last Name:HASNAIN
Suffix:
Gender:M
Credentials:MD, JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 N VAN NESS AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93728-3425
Mailing Address - Country:US
Mailing Address - Phone:559-791-8410
Mailing Address - Fax:888-422-9880
Practice Address - Street 1:807 N VAN NESS AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93728-3425
Practice Address - Country:US
Practice Address - Phone:559-791-8410
Practice Address - Fax:888-422-9880
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA144151208M00000X, 207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program