Individual ProviderShahzad HasanInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address10401 W Thunderbird Blvd, Suite M434, Sun City, AZ 85351-3004(623) 876-5622(623) 544-5070PECOS EnrollmentBased on the most recent information from CMS, provider Shahzad Hasan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1417996067Provider TypeIndividualFull NameHasan, ShahzadCredentialMDGenderMaleSole ProprietorNoEnumeration Date6/6/2006Last Updated10/18/2024Contact InformationPractice LocationPractice Address10401 W Thunderbird Blvd, Suite M434, Sun City, AZ 85351-3004Phone(623) 876-5622Fax(623) 815-2391Mailing LocationMailing AddressPO Box 53568, Sun Health Clinics & Physician Services, Phoenix, AZ 85072-3568Phone(623) 544-5070FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense33716ArizonaCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicense33716ArizonaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense43205ColoradoCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense98-71New MexicoProvider IdentifiersIDDescriptionIssuerID764234DescriptionMedicaidIssuerUnlistedArizona