Provider Demographics
NPI:1346747086
Name:HASAN, ABIDA FATIMA (DO)
Entity type:Individual
Prefix:DR
First Name:ABIDA
Middle Name:FATIMA
Last Name:HASAN
Suffix:
Gender:
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:19834 VIEW PARK LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2401
Mailing Address - Country:US
Mailing Address - Phone:210-316-1115
Mailing Address - Fax:619-735-7425
Practice Address - Street 1:23920 KATY FWY STE 440
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-0881
Practice Address - Country:US
Practice Address - Phone:346-257-4300
Practice Address - Fax:832-437-8650
Is Sole Proprietor?:No
Enumeration Date:2018-04-10
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A20789207R00000X
TXV3610207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine