Provider Demographics
NPI:1346370996
Name:HASSAN, SAMI (MD)
Entity Type:Individual
Prefix:
First Name:SAMI
Middle Name:
Last Name:HASSAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 BALFOUR DR
Mailing Address - Street 2:STE 102
Mailing Address - City:ARCHDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27263-3532
Mailing Address - Country:US
Mailing Address - Phone:336-875-8134
Mailing Address - Fax:336-875-8136
Practice Address - Street 1:207 BALFOUR DR
Practice Address - Street 2:STE 102
Practice Address - City:ARCHDALE
Practice Address - State:NC
Practice Address - Zip Code:27263-3532
Practice Address - Country:US
Practice Address - Phone:336-875-8134
Practice Address - Fax:336-875-8136
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9501704207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine