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Contact Information

HASSAN AL SHAMMAA
4881 SUGAR MAPLE DR
WRIGHT-PATTERSON AFB, OH45433-5529
 Phone: 937-718-0007
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for HASSAN AL SHAMMAA · (Male)

NPI # 1497173850
Status Active
Credentials
Entity Individual
Enumeration date 04/02/2014
Last updated 01/10/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 01087512A
  • MI License # 4301113451
  • OH License # 35130059
Hospital affiliation(s)
  • LAKELAND HOSPITAL ST JOSEPH - (Acute Care)
    1234 NAPIER AVENUE
    ST JOSEPH, MI 49085
  • SPRINGFIELD REGIONAL MEDICAL CENTER - (Acute Care)
    100 MEDICAL CENTER DRIVE
    SPRINGFIELD, OH 45504
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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