Provider Demographics
NPI:1225001696
Name:HASSAN, ZAHID (MD)
Entity type:Individual
Prefix:DR
First Name:ZAHID
Middle Name:
Last Name:HASSAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1118 MUIRFIELD DR
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-2958
Mailing Address - Country:US
Mailing Address - Phone:219-322-1906
Mailing Address - Fax:219-738-6671
Practice Address - Street 1:8700 BROADWAY
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-7036
Practice Address - Country:US
Practice Address - Phone:219-738-5510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2010-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01049462A207P00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN01049462AMedicaid
IN000000279911OtherBCBS
IN200272810Medicaid
IN000000576541OtherBCBS
IN200272810Medicaid
IN193810AAMedicare PIN
G92623Medicare UPIN
INM400028005Medicare PIN