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IMRAN HASSAN M.D. NPI 1023088978

Classification
Colon & Rectal Surgery
Type
License No.
41912
License State
MN
Certified
Location

Additional Identifiers

Medical School
OTHER
Graduation Year
1995
Identifier
Type
State
Identifier: 280000109
Type: MEDICARE ID-TYPE UNSPECIFIED (04)
State: MN
Identifier: 036116661
Type: MEDICAID (05)
State: IL
Identifier: H06397
Type: MEDICARE UPIN (02)
State:
Identifier: 020044188
Type: MEDICARE ID-TYPE UNSPECIFIED (04)
State: MN
Identifier: 333677800
Type: MEDICAID (05)
State: MN

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
315 W CARPENTER ST, SPRINGFIELD, IL, 62702
Business Phone
217-545-1025
Mailing Address
PO BOX 19638, SPRINGFIELD, IL, 627949638
Mailing Phone
217-545-1025
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