Ahmed Hassan, PA – Internal Medicine Physician

Key facts

NPI: 1083983415
Entity type: Organization (NPI type 2)
Primary specialty: Internal Medicine Physician 207R00000X
License: M2639 (TX)
Legal business name: AHMED HASSAN, PA
Practice address: 520 E 6TH St
Odessa, TX 79761-4527
Phone: (325) 763-8473
NPI assigned: Dec 13, 2011
Organization subpart: No

Authorized official

Name: Ahmed Hassan, MD
Title: Owner
Phone: (325) 763-8473

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Internal Medicine Physician Group: 193400000X SINGLE SPECIALTY GROUP	207R00000X	M2639	TX	Yes

Addresses

Primary practice location

520 E 6TH St
Odessa, TX 79761-4527

Mailing address

PO Box 13084
Odessa, TX 79768-3084
Phone (325) 763-8473

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 13, 2011.

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1083983415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13084",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797683084",
            "telephone_number": "325-763-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E 6TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614527",
            "telephone_number": "325-763-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMED HASSAN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-763-8473",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M2639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

All providers in Odessa, TX · Internal Medicine Physician in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.