Provider Demographics
NPI:1730665357
Name:HASSAN, IRFAN NAZIR (MD)
Entity Type:Individual
Prefix:
First Name:IRFAN NAZIR
Middle Name:
Last Name:HASSAN
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 1:115 OLD SHORT HILLS RD APT 288
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-1028
Mailing Address - Country:US
Mailing Address - Phone:646-468-7741
Mailing Address - Fax:
Practice Address - Street 1:115 OLD SHORT HILLS RD APT 288
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-1028
Practice Address - Country:US
Practice Address - Phone:646-468-7741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-17
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program