Provider Demographics
NPI:1801803531
Name:HASSAN, ZAHIA M (MD)
Entity type:Individual
Prefix:
First Name:ZAHIA
Middle Name:M
Last Name:HASSAN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:801 E LASALLE AVE
Mailing Address - Street 2:DEBORAH LAWSON CLINICAL EDUCATION
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46617-2814
Mailing Address - Country:US
Mailing Address - Phone:574-282-8944
Mailing Address - Fax:574-237-7706
Practice Address - Street 1:801 E LASALLE AVE
Practice Address - Street 2:DEBORAH LAWSON CLINICAL EDUCATION
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46617-2814
Practice Address - Country:US
Practice Address - Phone:574-282-8944
Practice Address - Fax:574-237-7706
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IN010373362080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine