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Contact Information

MOHANNAD H ALHASANI, MD
7950 W JEFFERSON BLVD
FORT WAYNE, IN46804-4140
 Phone: 260-434-6004
 Fax: 260-434-6481
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MOHANNAD H ALHASANI · (Male)

NPI # 1801243548
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2016
Last updated 07/24/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • IN License # 01090977A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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