ANTHONY T HASAN MD NPI 1003010216

Dermatology (MOHS-Micrographic Surgery) in Miami, FL

About ANTHONY HASAN

Anthony Hasan is a provider in Miami, FL. The NPI number assigned to this provider is 1003010216. The practitioner's primary taxonomy code is Dermatology (207ND0101X). The provider is registered as an individual and their NPI record was last updated 9 years ago.

NPI1003010216 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name ANTHONY T HASAN MD
Provider Location Address8501 SW 124TH AVE STE 112 MIAMI, FL 33183 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address8501 SW 124TH AVE STE 112 MIAMI, FL 33183 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date06-12-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date03-24-2009 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

ANTHONY T HASAN MD
8501 SW 124TH AVE STE 112
MIAMI, FL
ZIP 33183
Phone: (305) 273-6001
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Mailing Address

ANTHONY T HASAN MD
8501 SW 124TH AVE STE 112
MIAMI, FL
ZIP 33183
Phone: (305) 273-6001

Primary Taxonomy

Taxonomy Code207ND0101X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationDermatology
TypeAllopathic & Osteopathic Physicians
SpecializationMOHS-Micrographic Surgery
License No.ME 78230
License StateFL
Taxonomy DescriptionThe highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
51074MEDICARE PIN (08)FL
H41296MEDICARE UPIN (02)FL

Map Location


ANTHONY T HASAN MD address is 8501 SW 124TH AVE STE 112 MIAMI, FL 33183