Provider Demographics
NPI:1477525822
Name:AL-HASAN, MAJDI N (MD)
Entity Type:Individual
Prefix:DR
First Name:MAJDI
Middle Name:N
Last Name:AL-HASAN
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:PO BOX 743904
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-3904
Mailing Address - Country:US
Mailing Address - Phone:803-296-7320
Mailing Address - Fax:803-293-7330
Practice Address - Street 1:115 N SUMTER ST STE 315
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-4967
Practice Address - Country:US
Practice Address - Phone:803-774-9787
Practice Address - Fax:803-774-9781
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY41444207RI0200X
MN47834207RI0200X
SC35368207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100060920Medicaid
MN377119900Medicaid
SC353682Medicaid
SCSC04762603Medicare PIN
KY377119900Medicare PIN