Provider Demographics
NPI:1609437839
Name:HASSAN, MUHAMMAD (MD)
Entity type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:
Last Name:HASSAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3783 INTERNATIONAL CT STE 390
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97477-1025
Mailing Address - Country:US
Mailing Address - Phone:541-687-1927
Mailing Address - Fax:541-683-8779
Practice Address - Street 1:3783 INTERNATIONAL CT STE 290
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-1025
Practice Address - Country:US
Practice Address - Phone:541-687-1927
Practice Address - Fax:513-984-4240
Is Sole Proprietor?:No
Enumeration Date:2019-06-27
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.147431207W00000X
390200000X
OR224597207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program