Provider Demographics
NPI:1497912976
Name:HASSAN, ABDIRIZAK
Entity Type:Individual
Prefix:
First Name:ABDIRIZAK
Middle Name:
Last Name:HASSAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3310 MORSE RD
Mailing Address - Street 2:STE: 107
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-6191
Mailing Address - Country:US
Mailing Address - Phone:614-218-9993
Mailing Address - Fax:
Practice Address - Street 1:3310 MORSE RD
Practice Address - Street 2:STE 107
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-6191
Practice Address - Country:US
Practice Address - Phone:614-218-9993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1682576251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health