Individual provider · NPI-1

Mutasim N. Abu-Hasan, MD

Pediatrics, Pediatric Pulmonology · Gainesville, FL

NPI number1558356402
StatusActive
Last updated in NPPESFeb 8, 2011

Details

NPI
1558356402
Entity type
Individual (NPI-1)
Name
Mutasim N. Abu-Hasan
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 16, 2005
Last updated
Feb 8, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0214X Pediatrics, Pediatric PulmonologyME107986FLYes
2080P0201X Pediatrics, Pediatric Allergy/Immunology33418IA
2080P0214X Pediatrics, Pediatric Pulmonology33418IA
2080P0214X Pediatrics, Pediatric Pulmonology04-33202KS

Practice location

1600 Sw Archer Rd
Gainesville, FL 32610-3003

Phone 352-273-8379 · Fax 352-392-4450

Mailing address

Po Box 918025
Orlando, FL 32891-8025

Phone 352-273-8379 · Fax 352-392-4450

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.

Other Pediatrics, Pediatric Pulmonology providers in Gainesville, FL