Provider Demographics
NPI:1174733695
Name:SARAWAN, MOHAMMEDHASAN I (MB, BS)
Entity type:Individual
Prefix:
First Name:MOHAMMEDHASAN
Middle Name:I
Last Name:SARAWAN
Suffix:
Gender:M
Credentials:MB, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8520 LONG MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-2879
Mailing Address - Country:US
Mailing Address - Phone:212-961-6200
Mailing Address - Fax:
Practice Address - Street 1:8520 LONG MEADOW LN
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-2879
Practice Address - Country:US
Practice Address - Phone:212-961-6200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD-37767208M00000X
IAR7736207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAP00708685OtherRR MEDICARE