Provider Demographics
NPI:1841216827
Name:HASSAN, ZIA U (MD)
Entity Type:Individual
Prefix:DR
First Name:ZIA
Middle Name:U
Last Name:HASSAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:420 LOWELL DR SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3754
Mailing Address - Country:US
Mailing Address - Phone:256-265-1910
Mailing Address - Fax:256-265-1911
Practice Address - Street 1:420 LOWELL DR SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3754
Practice Address - Country:US
Practice Address - Phone:256-265-1910
Practice Address - Fax:256-265-1911
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2017-06-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT043987207R00000X
AL21155207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALG6906Medicare UPIN