Massara Hasan, | |
5220 Central Ave Ne Ste 240, Columbia Heights, MN 55421-1823 | |
(763) 275-1319 | |
Not Available |
Full Name | Massara Hasan |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 5220 Central Ave Ne Ste 240, Columbia Heights, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063084465 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019.033236 (Illinois) | Secondary |
122300000X | Dentist | D14681 (Minnesota) | Primary |
Entity Name | United Family Practice Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851300149 PECOS PAC ID: 0042109258 Enrollment ID: O20040504000368 |
Mailing Address | Practice Location Address |
---|---|
Massara Hasan, 675 Station Blvd Apt 204, Aurora, IL 60504-4047 Ph: (630) 492-3894 | Massara Hasan, 5220 Central Ave Ne Ste 240, Columbia Heights, MN 55421-1823 Ph: (763) 275-1319 |
Dr. Mohammad Salad, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4111 Central Ave Ne, Suite 104, Columbia Heights, MN 55421 Phone: 763-400-3525 Fax: 763-244-1217 | |
Dr. David William Angell, DDS Dentist Medicare: Medicare Enrolled Practice Location: 427 40th Ave Ne, Columbia Heights, MN 55421 Phone: 763-788-2215 Fax: 763-788-1199 | |
Dr. James Clarence Loots Jr., D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 535 40th Ave Ne, Columbia Heights, MN 55421 Phone: 763-781-3321 Fax: 763-781-3321 | |
Dr. Timothy Paul Weis, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4000 Central Ave Ne Ste 308, Columbia Heights, MN 55421 Phone: 763-781-7475 Fax: 763-781-0828 | |
Dr. Nipa Shailesh Kulenkamp, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5220 Central Ave Ne Ste 240, Columbia Heights, MN 55421 Phone: 763-275-1319 | |
Steven David Angell, Dentist Medicare: Medicare Enrolled Practice Location: 427 40th Ave Ne, Columbia Heights, MN 55421 Phone: 763-788-2215 |