Provider Demographics
NPI:1538144563
Name:HASSON, RICHARD M (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:M
Last Name:HASSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:700 E MOREHEAD ST STE 300
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28202-2742
Mailing Address - Country:US
Mailing Address - Phone:704-334-7800
Mailing Address - Fax:704-414-7512
Practice Address - Street 1:700 E MOREHEAD ST STE 300
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28202-2742
Practice Address - Country:US
Practice Address - Phone:704-334-7800
Practice Address - Fax:704-414-7512
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2018-04-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MT109692085R0202X
NY225734-12085R0202X
DEC1-00079092085R0202X
MI43010805902085R0202X
WI45169-0202085R0202X
UT522853-12052085R0202X
IN01056680A2085R0202X
NJ25MA075194002085R0202X
NH121062085R0202X
NVSP0132085R0202X
HIMD-137432085R0202X
SC284772085R0202X
CO409172085R0202X
NMT2003-00302085R0202X
NC2002010942085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNC6180AMedicare PIN