Provider Demographics
NPI:1295851954
Name:HASSANI, MORAD (MD)
Entity Type:Individual
Prefix:
First Name:MORAD
Middle Name:
Last Name:HASSANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5225 POOKS HILL RD 610N
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-1504
Mailing Address - Country:US
Mailing Address - Phone:301-852-3145
Mailing Address - Fax:
Practice Address - Street 1:2141 K ST NW STE 707
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1810
Practice Address - Country:US
Practice Address - Phone:202-293-8680
Practice Address - Fax:202-293-8694
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY237163207RI0200X
DCMD041718207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCMD041718OtherLICENSE NUMBER
NY237163OtherLICENSE NUMBER
MDD0076849OtherLICENSE NUMBER
MDD0076849OtherLICENSE NUMBER