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Choudhury Mohammed Sajedul Hasan

Internal Medicine

Allopathic & Osteopathic Physicians

14056 Quince Ave, Flushing, NY 11355-3561

PECOS Enrollment

This provider is enrolled in PECOS as CHOUDHURY HASAN.

Based on the most recent information from CMS, provider Choudhury Mohammed Sajedul Hasan 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
1669850210
Provider Type
Individual
Full Name
Hasan, Choudhury Mohammed Sajedul
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
5/15/2015
Last Updated
11/19/2018

Contact Information

Practice Location

14056 Quince Ave, Flushing, NY 11355-3561

(347) 837-8117

Unlisted Fax

Mailing Location

14056 Quince Ave, Flushing, NY 11355-3561

(347) 837-8117

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 296494 New York
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License 296494 New York

Choudhury Mohammed Sajedul Hasan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Shah, Nathubhai C

Igbokwe, Nesochi

Abdulaaima, Farah

Reznicek, Antonin Jiri

Reznyk, Yevhen

Deng, Juliang

Sincere Medical Care Pc

Genghui Zhu Medical Pc

Pang, Dorothy Santos

Hassan, Ahmed Mahdi