Mushhuda Fairooz Hassan, MD
Student in an Organized Health Care Education/Training Program in Bronx, NY. Individual provider (NPI-1).
Details
- NPI
- 1104528090
- Entity type
- Individual (NPI-1)
- Name
- Mushhuda Fairooz Hassan
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 22, 2023
- Certification date
- Mar 21, 2023
- Last updated
- Mar 22, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
111 E 210th StBronx, NY 10467-2401
Phone 312-358-2041
Mailing address
1922 W Ogden Ave Unit 603Chicago, IL 60612-5584
Phone 312-358-2041
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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