Provider Demographics
NPI:1144278136
Name:HASAN, RASHED A (MD)
Entity type:Individual
Prefix:DR
First Name:RASHED
Middle Name:A
Last Name:HASAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2213 CHERRY STREET
Mailing Address - Street 2:MERCY CHILDREN'S HOSPITAL
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608
Mailing Address - Country:US
Mailing Address - Phone:419-251-4855
Mailing Address - Fax:
Practice Address - Street 1:ST VINCENT MERCY CHILDREN'S HOSPITAL
Practice Address - Street 2:2213 CHERRY STREET
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-1410
Practice Address - Country:US
Practice Address - Phone:419-251-4855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301054627208000000X, 2080P0203X
MA224063208000000X, 2080P0203X
OH35073694208000000X, 2080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2105527Medicaid
MA2105527Medicaid