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HASAN HASABA MD PLLC NPI 1184993404


NPI Information

NPI: 1184993404
Provider Name: HASAN HASABA MD PLLC

Doing Business As: GREENFIELD PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 23D2006795

Address:
15990 W 9 MILE RD STE 100
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 559-7958
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HASAN HASABA MD PLLC is a pediatrics in Southfield, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. HASAN HASABA MD PLLC NPI is 1184993404. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Greenfield Pediatrics.

The provider's business location address is:

15990 W 9 MILE RD STE 100
SOUTHFIELD, MI
ZIP 48075-826
Phone: (248) 559-7958
Fax: (248) 559-0908

The provider's authorized official is Hasan Hasaba .
The authorized official title is Medical Director and has the following contact phone number (248) 559-7958.

The CLIA number assigned to this NPI record is 23D2006795 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2011 and was last updated on 1/18/2024.


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
1208000000XPediatricsYes

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: 4/28/2024

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