Provider Demographics
NPI:1881680841
Name:HASSAN, BABAR NAVID (MD)
Entity type:Individual
Prefix:
First Name:BABAR
Middle Name:NAVID
Last Name:HASSAN
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 1:575 UNDERHILL BLVD STE 177
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-3417
Mailing Address - Country:US
Mailing Address - Phone:516-933-1088
Mailing Address - Fax:
Practice Address - Street 1:575 UNDERHILL BLVD STE 177
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-3417
Practice Address - Country:US
Practice Address - Phone:516-399-1088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-26
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY192391207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAG64839Medicare UPIN
00W198M01Medicare ID - Type Unspecified