DR. OMAR HASAN MD NPI 1124072780

NPI Information

  • NPI: 1124072780
  • Provider Name: DR. OMAR HASAN, MD
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • Address: 1620 TREMONT ST
    3RD FLOOR
    ROXBURY CROSSING, MA
    ZIP 02120
  • Phone: (617) 732-7063

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NPI Details

DR. Omar Hasan, MD is an internal medicine in Roxbury Crossing, MA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Omar Hasan, MD NPI is 1124072780. 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:

1620 TREMONT ST
3RD FLOOR
ROXBURY CROSSING, MA
ZIP 02120-613
Phone: (617) 732-7063
Fax: (617) 732-7072

The enumeration date for this NPI number is 5/19/2006 and was last updated on 7/9/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine038009CONNECTICUTNo
2207R00000XInternal Medicine230890MASSACHUSETTSYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H15567MEDICARE UPINCONNECTICUT

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: 11/21/2025

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