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Ahmed Mahdi Hassan

Internal Medicine

Allopathic & Osteopathic Physicians

4500 Parsons Blvd, Flushing, NY 11355-2205

PECOS Enrollment

This provider is enrolled in PECOS as AHMED HASSAN.

Based on the most recent information from CMS, provider Ahmed Mahdi Hassan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1639560162
Provider Type
Individual
Full Name
Hassan, Ahmed Mahdi
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
2/5/2015
Last Updated
6/10/2024

Contact Information

Practice Location

4500 Parsons Blvd, Flushing, NY 11355-2205

(718) 670-5939

Unlisted Fax

Mailing Location

4500 Parsons Blvd, Flushing, NY 11355-2205

(718) 670-5939

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 0101262725 Virginia
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 2015-01282 North Carolina
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License 0101262725 Virginia

Ahmed Mahdi Hassan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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Description

License

Code

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License

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