Provider Demographics
NPI:1265034938
Name:HM-DPM LLC
Entity Type:Organization
Organization Name:HM-DPM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HASAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MASOOD
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:845-536-8826
Mailing Address - Street 1:3161 SUNRIDGE HEIGHTS PKWY UNIT 1304
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-5091
Mailing Address - Country:US
Mailing Address - Phone:845-536-8826
Mailing Address - Fax:
Practice Address - Street 1:3161 SUNRIDGE HEIGHTS PKWY UNIT 1304
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-5091
Practice Address - Country:US
Practice Address - Phone:845-536-8826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty