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DR. SUHEB MASHKOOR HASAN MD NPI 1104933621


NPI Information

NPI: 1104933621
Provider Name: DR. SUHEB MASHKOOR HASAN, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Organization: MIDMICHIGAN MEDICAL CENTER-MIDLAND

PECOS Registration: Yes

Address:
3815 PELHAM ST
STE 1
DEARBORN, MI
ZIP 48124
Phone: (313) 593-3915
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DR. Suheb Mashkoor Hasan, MD is a neurology psychiatry neurology in Dearborn, MI with 32 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Suheb Mashkoor Hasan, MD NPI is 1104933621. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3815 PELHAM ST
STE 1
DEARBORN, MI
ZIP 48124-852
Phone: (313) 593-3915
Fax: (313) 792-8812

The NPI 1104933621 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Measurement and recording of brain wave (EEG) activity, awake and drowsy (HCPCS:95816)
  • Needle measurement and recording of electrical activity of muscles of arm or leg complete study (HCPCS:95886)

The enumeration date for this NPI number is 8/23/2006 and was last updated on 1/5/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology4301088848MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00632361OTHERMICHIGANRAILROAD MEDICARE
2H33613MEDICARE UPIN
31408294671OTHERMICHIGANBC
41140933621MEDICAIDMICHIGAN
50P57100MEDICARE PINMICHIGAN
639663OTHERMICHIGANHEALTH PLAN OF MI
70229367OTHERMICHIGANDEPT OF LABOR
8166233OTHERMICHIGANGREAT LAKES
91408292901OTHERMICHIGANBCN
101408294671OTHERMICHIGANBCN
111408292901OTHERMICHIGANBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.