Provider Demographics
NPI:1528516085
Name:HASSAN, BURHAN
Entity type:Individual
Prefix:
First Name:BURHAN
Middle Name:
Last Name:HASSAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3703 S EDMUNDS ST # 32
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-1728
Mailing Address - Country:US
Mailing Address - Phone:206-403-0733
Mailing Address - Fax:206-745-3797
Practice Address - Street 1:8500 PERIMETER RD S STE 101
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-3803
Practice Address - Country:US
Practice Address - Phone:206-403-0733
Practice Address - Fax:206-745-3797
Is Sole Proprietor?:No
Enumeration Date:2016-09-13
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA81-3820929OtherIRS
WA1053766253OtherNPPES