Provider Demographics
NPI:1255547881
Name:RIZWAN U. HASSAN, M.D.
Entity type:Organization
Organization Name:RIZWAN U. HASSAN, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RIZWAN
Authorized Official - Middle Name:U
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:316-268-6856
Mailing Address - Street 1:818 N EMPORIA ST
Mailing Address - Street 2:SUITE 411
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-3729
Mailing Address - Country:US
Mailing Address - Phone:316-268-6856
Mailing Address - Fax:316-291-7202
Practice Address - Street 1:818 N EMPORIA ST
Practice Address - Street 2:SUITE 411
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-3729
Practice Address - Country:US
Practice Address - Phone:316-268-6856
Practice Address - Fax:316-291-7202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0418601174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1174524003OtherNPI
KS1174524003OtherNPI
KS102884Medicare ID - Type Unspecified