SYED GHAZANFAR HASAN


Address: Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604
Phone: 4234398000

SYED GHAZANFAR HASAN (NPI# 1053809442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053809442
Entity Type Individual
Full Name SYED GHAZANFAR HASAN
Credential DO
Practice Address Etsu Psychiatry and Behavioral Sciences Department
1276 Gilbreath Dr.
Johnson City
TN 37604
Mailing Address Po Box 70567
Johnson City
TN 37614-1707
Practice Telephone 4234398000
Enumeration Date 2018-05-01
Last Update Date 2018-05-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers SYED HASAN

NPI Name Taxonomy Address Enumeration
1972605418 Syed Sajid Hasan Psychiatry & Neurology 7823 Spivey Station Blvd, Suite 230, Jonesboro, GA 30236-2886 2006-09-04
1265534465 Syed Naved Hasan Family Medicine 908 Southmore Ave Ste 100, Pasadena Health Center, Pasadena, TX 77502-1120 2006-09-01
1790895035 Syed S Hasan Internal Medicine 2120 Mariner Blvd, Spring Hill, FL 34609-3859 2006-08-30
1730115791 Syed Hasan Internal Medicine 87 N Airlite, Suite100, Elgin, IL 60123 2006-06-23
1528010998 Syed Amjad Hasan Specialist 44835 Date Ave, Lancaster, CA 93534-3102 2006-05-16
1700402898 Syed N Hasan Student in an Organized Health Care Education/Training Program 601 Hamilton Ave, Trenton, NJ 08629-1915 2020-06-24
1235768748 Syed Aarish Hasan Student in an Organized Health Care Education/Training Program 1431 Sw 1st Ave Ste 7, Ocala, FL 34471-6500 2020-04-06
1134772106 Syed Abbas Hasan Student in an Organized Health Care Education/Training Program 1155 Mill St # 11, Reno, NV 89502-1576 2019-07-18
1255807574 Syed Radwan Hasan Optometrist 11915 Atlantic Ave, Richmond Hill, NY 11418-3216 2018-10-15
1003310525 Syed Mustajab Hasan Student in an Organized Health Care Education/Training Program 1431 Sw 1st Ave Bldg Suite7, Ocala, FL 34471-6500 2018-03-20

Office Location

Street Address ETSU PSYCHIATRY AND BEHAVIORAL SCIENCES DEPARTMENT
1276 GILBREATH DR.
City JOHNSON CITY
State TN
Zip Code 37604

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417560707 Brant Logan Nickens Physical Therapist 809 Lamont St and Veterans Way, Johnson City, TN 37604 2020-08-26
1952911562 David Sandlin Hobbs Pharmacist Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 2020-08-07
1528688272 Whitney Marie Ward Physical Therapist Lamont Street and Veterans Way, Johnson City, TN 37604 2020-04-23
1861050015 Akesh Thomas Student in an Organized Health Care Education/Training Program Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 2019-06-03
1336629021 Medical Education Assistance Corporation Clinic/Center 820 W Market St, Johnson City, TN 37604 2018-08-21
1093208951 Lauren Tiffany Hayden Physician Assistant 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 2018-06-14
1174014450 Jerica Moore Specialist/Technologist 1041 Hamiltion Place Dr., Johnson City, TN 37604 2018-05-23
1699262485 Sonia Kumari Oad Student in an Organized Health Care Education/Training Program 178 West Maple St, Johnson City, TN 37604 2018-04-17
1821519364 Mahmoud El Iskandarani Internal Medicine 1084 W Oakland Avenue, 748, Johnson City, TN 37604 2017-07-06
1831640937 Watauga Recovery Center Morristown P.C. Family Medicine 1369 W Andrew Johnson Hwy, Johnson City, TN 37604 2016-10-24
Find all providers in zip 37604

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

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.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619585668 Mohammad Darweesh Student in an Organized Health Care Education/Training Program 325 N State of Franklin Rd # 439-7280, Johnson City, TN 37604-6056 2020-07-16
1407484157 Kayla Page Student in an Organized Health Care Education/Training Program 23 Riale Ave, Johnson City, NY 13790-2707 2020-03-30
1932736030 Trishna Sharma Student in an Organized Health Care Education/Training Program Building 52/lake Drive Mountain Home, Johnson City, TN 37684 2020-03-26
1962063743 Pooja Kumar Student in an Organized Health Care Education/Training Program 400 N St Franklin Rd, Johnson City, TN 37604-6035 2019-06-24
1861050015 Akesh Thomas Student in an Organized Health Care Education/Training Program Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 2019-06-03
1396309324 Praveen Shilpa Fernandopulle Student in an Organized Health Care Education/Training Program 1276 Gilbreath Dr # 70300, Johnson City, TN 37614-6503 2019-04-25
1609439686 Alok Kumar Sinha Student in an Organized Health Care Education/Training Program Va Bldg 1, Johnson City, TN 37614-6503 2019-04-16
1699262485 Sonia Kumari Oad Student in an Organized Health Care Education/Training Program 178 West Maple St, Johnson City, TN 37604 2018-04-17
1689171951 Matthew David Carpenter Student in an Organized Health Care Education/Training Program Va Bldg 1, Dogwood Avenue, Johnson City, TN 37614-0622 2018-04-12
1316444953 Sindhura Kompella Student in an Organized Health Care Education/Training Program 1185 W Mountain View Rd Apt 2322, Johnson City, TN 37604-2539 2018-04-10
Find all providers in JOHNSON CITY

Competitor

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City JOHNSON CITY
Zip Code 37604

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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