Provider Demographics
NPI:1508008517
Name:HASAN, MUHAMMAD H (MD)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:H
Last Name:HASAN
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 1:713 SAINT JOSEPHS DR
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-2570
Mailing Address - Country:US
Mailing Address - Phone:708-251-4190
Mailing Address - Fax:708-251-4193
Practice Address - Street 1:71 W 156TH ST STE 203
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:IL
Practice Address - Zip Code:60426-4262
Practice Address - Country:US
Practice Address - Phone:708-251-4190
Practice Address - Fax:708-251-4193
Is Sole Proprietor?:No
Enumeration Date:2009-04-06
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036135696207R00000X, 207RN0300X, 207RN0300X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology