Provider Demographics
NPI:1821040759
Name:HASNAIN, SYED SIKANDAR (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:SIKANDAR
Last Name:HASNAIN
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 1:22312 W THURMAN AVE
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257-2536
Mailing Address - Country:US
Mailing Address - Phone:559-781-8128
Mailing Address - Fax:559-781-8446
Practice Address - Street 1:560 W PUTNAM AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-3269
Practice Address - Country:US
Practice Address - Phone:559-781-7482
Practice Address - Fax:559-781-8446
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC38554207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C385540Medicaid
CAA36949Medicare UPIN
CA00C385540Medicaid