Provider Demographics
NPI:1487495263
Name:HASSAN, ZIAD MOSTAFA
Entity type:Individual
Prefix:
First Name:ZIAD
Middle Name:MOSTAFA
Last Name:HASSAN
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 1:290 FREESTONE DR NE
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-4006
Mailing Address - Country:US
Mailing Address - Phone:540-617-8522
Mailing Address - Fax:
Practice Address - Street 1:290 FREESTONE DR NE
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-4006
Practice Address - Country:US
Practice Address - Phone:540-616-8522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)