Safiul Hasan M.D. PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301036123 Issued in MI

Legal business name

SAFIUL HASAN M.D. PC

Practice address

4000 Highland Rd
Suite 100
Waterford, MI 48328-2167

Phone

(248) 682-4900

Fax

(248) 682-4909

NPI assigned

Sep 21, 2007

Organization subpart

No

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

Authorized official

Name

Safiul Hasan, M.D.NPI 1275636433

Title

Owner

Phone

(248) 682-4900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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

• Safiul Hasan, M.D.

  • Specialist
  • Waterford, MI
  • NPI 1275636433
  Medicare reassignment NPD Authorized official
• Amod S Tootla, MD

  • Specialist
  • Waterford, MI
  • NPI 1841340510
  NPD
• Farouk S Tootla, M.D.

  • Colon & Rectal Surgery Physician
  • Bloomfield Hills, MI
  • NPI 1568569655
  NPD

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1689860769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 HIGHLAND RD",
            "address_2": "SUITE 100",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282167",
            "telephone_number": "248-682-4900",
            "fax_number": "248-682-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 HIGHLAND RD",
            "address_2": "SUITE 100",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282167",
            "telephone_number": "248-682-4900",
            "fax_number": "248-682-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFIUL HASAN M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "SAFIUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-682-4900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301036123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1781235",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Ryan, M.A., CCC-SLP
• Isabel Ruth Ryzenga, LLMSW
• S.E.T. Footcare, P.C.
• Sacs, LLC
• Nadia J. Sadik, M.D.
• Sage & Satori
• Sage & Satori LLC
• Michael Sahagun, LPTA
• Waheeb Said, RPH
• Joumana Salame, DENTIST

• Specialist in Waterford, MI
• Providers in Waterford, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.