Provider Demographics
NPI:1326258682
Name:HASSAN, IHAB H (MD)
Entity Type:Individual
Prefix:
First Name:IHAB
Middle Name:H
Last Name:HASSAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:20375 W 151ST ST STE 451
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-7210
Mailing Address - Country:US
Mailing Address - Phone:913-829-0446
Mailing Address - Fax:913-829-7829
Practice Address - Street 1:20375 W 151ST ST STE 451
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-7210
Practice Address - Country:US
Practice Address - Phone:913-829-0446
Practice Address - Fax:913-829-7829
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA456527207R00000X, 207RC0200X, 207RP1001X, 207RP1001X, 207RC0200X, 207R00000X
KS04-42024207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine