Surayia T Hasan

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SURAYIA T HASAN

Practice address

224 Professional Park
Beckley, WV 25801-3624

Phone

(304) 255-9444

Fax

(304) 225-9447

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Surayia T Hasan, MDNPI 1891892899

Title

Owner

Phone

(304) 255-9444

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, and the practitioner matching its NPPES authorized official.

• Surayia T Hasan II, MD

  • Internal Medicine Physician
  • Beckley, WV
  • NPI 1891892899
  Authorized official Same address or phone

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750421285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 PROFESSIONAL PARK",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013624",
            "telephone_number": "304-255-9444",
            "fax_number": "304-225-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 PROFESSIONAL PARK",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013624",
            "telephone_number": "304-255-9444",
            "fax_number": "304-225-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURAYIA T HASAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "SURAYIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-255-9444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Beckley, WV
• Providers in Beckley, WV by specialty
• Internal Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.