Provider Demographics
NPI:1083598585
Name:ANSHUR, HASSAN
Entity type:Individual
Prefix:
First Name:HASSAN
Middle Name:
Last Name:ANSHUR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2969 GOODEN WAY # 2969
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43204-2199
Mailing Address - Country:US
Mailing Address - Phone:972-799-4974
Mailing Address - Fax:
Practice Address - Street 1:4381 BELVEDERE PARK
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-6345
Practice Address - Country:US
Practice Address - Phone:972-799-4974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant