Doctor Name: | MAHROUS ABO HASSAN |
NPI Number: | 1114335023 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 3001 Hospital Drive 5th Floor Prince Georges Hospital Center Department Of Medicine Cheverly, MD - 20785 |
Business Phone Number: | 3016183776 |
Business Fax Number: | 3016182986 |
Mailing Address: | 3001 Hospital Drive 5th Floor, Prince Georges Hospital Center Department Of Medicine CHEVERLY |
State: | MD |
Postal Code: | 20785 |
Phone Number: | 3016183776 |
Fax Number: | 3016182986 |
NPI Enumeration Date: | 07/24/2014 |
NPI Last Update Date: | 07/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |