Provider Demographics
NPI:1922193663
Name:HASAN, FARHANA (MD, MPH)
Entity Type:Individual
Prefix:
First Name:FARHANA
Middle Name:
Last Name:HASAN
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:FARHANA
Other - Middle Name:
Other - Last Name:ASAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:6905 HOSPITAL DR
Mailing Address - Street 2:STE 130
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-9600
Mailing Address - Country:US
Mailing Address - Phone:614-257-5590
Mailing Address - Fax:614-388-7505
Practice Address - Street 1:420 N JAMES RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-1834
Practice Address - Country:US
Practice Address - Phone:614-257-5590
Practice Address - Fax:614-388-7505
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03589826207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology