Provider Demographics
NPI:1750376042
Name:HASAN, FERHAT M (MD)
Entity type:Individual
Prefix:
First Name:FERHAT
Middle Name:M
Last Name:HASAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:11914 ASTORIA BLVD
Mailing Address - Street 2:420
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-6064
Mailing Address - Country:US
Mailing Address - Phone:281-484-9070
Mailing Address - Fax:281-481-2917
Practice Address - Street 1:11914 ASTORIA BLVD
Practice Address - Street 2:420
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6064
Practice Address - Country:US
Practice Address - Phone:281-484-9070
Practice Address - Fax:281-481-2917
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH8681207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX099197801Medicaid
TX099197801Medicaid
TXF48596Medicare UPIN