Hasan M Qutob

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

4301070269 Issued in MI

Legal business name

HASAN M QUTOB

Practice address

817 W High St
Jackson, MI 49203-2986

Phone

(734) 604-9626

NPI assigned

Dec 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hasan M Qutob, MDNPI 1285793521

Title

Owner

Phone

(734) 604-9626

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hasan M Qutob, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Michigan City, IN
  • NPI 1285793521
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451088000000",
    "number": "1154480499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492040071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 W HIGH ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492032986",
            "telephone_number": "734-604-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASAN M QUTOB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2015-12-26",
        "status": "A",
        "authorized_official_last_name": "QUTOB",
        "authorized_official_first_name": "HASAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-604-9626",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "4301070269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dexter D. Harshbarger, RPH
• Jessie Page Hart
• Angela Hartmann, BSW
• Daniel Bruce Harton, RN, EMT-B
• Linda S Harvey, LBSW
• Kimberly Sue Haskell, LLPC
• Bischan Hassunizadeh, MD
• Kierstynn Hatler
• Kathleen Mary Hausbeck-Miller, AUD
• Heather Hause, OTR/L

• Endocrinology, Diabetes & Metabolism Physician in Jackson, MI
• Providers in Jackson, MI by specialty
• Endocrinology, Diabetes & Metabolism Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.