Provider Demographics
NPI:1215935846
Name:HASAN, SYED ZAHEER (MD)
Entity type:Individual
Prefix:DR
First Name:SYED
Middle Name:ZAHEER
Last Name:HASAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:333 N SUMMIT ST FL 7
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1531
Mailing Address - Country:US
Mailing Address - Phone:419-696-7372
Mailing Address - Fax:419-696-7403
Practice Address - Street 1:1050 ISAAC STREETS DR STE 108
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-3243
Practice Address - Country:US
Practice Address - Phone:419-696-7372
Practice Address - Fax:419-696-7403
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350547832084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0649276Medicaid
130006115OtherRAILROAD MEDICARE
OHHA0653635Medicare PIN
MIN11220027Medicare PIN
130006115OtherRAILROAD MEDICARE