Provider Demographics
NPI:1770104531
Name:NASERDEAN, HASAN (MD)
Entity type:Individual
Prefix:
First Name:HASAN
Middle Name:
Last Name:NASERDEAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2014 N BEECH DALY RD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-3405
Mailing Address - Country:US
Mailing Address - Phone:313-591-0001
Mailing Address - Fax:313-591-0005
Practice Address - Street 1:2014 N BEECH DALY RD
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-3405
Practice Address - Country:US
Practice Address - Phone:313-591-0001
Practice Address - Fax:313-591-0005
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-04
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301509328207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine