Provider Demographics
NPI:1740259746
Name:HASNI, SYED SHAYAN AHMED (MD)
Entity type:Individual
Prefix:
First Name:SYED
Middle Name:SHAYAN AHMED
Last Name:HASNI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:856-428-8992
Mailing Address - Fax:856-428-9614
Practice Address - Street 1:401 KINGS HWY S STE 5
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-2500
Practice Address - Country:US
Practice Address - Phone:856-428-8992
Practice Address - Fax:856-428-9614
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2024-12-30
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Provider Licenses
StateLicense IDTaxonomies
KY38625207R00000X
MA227125208M00000X
CT043946208M00000X
NJ25MA08951700208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT581828OtherHMN
1740259746OtherTRICARE
CT1740259746OtherCIGNA
CT7998938OtherAETNA
P00463044OtherRAILROAD
CT001439464Medicaid
CT010043946CT01OtherBCBS
CT1740259746OtherCHN
CT227125OtherCONNECTICARE
P00463044OtherRAILROAD
CT1740259746OtherCIGNA