Provider Demographics
NPI:1053546473
Name:HASSAN, SAIRA M (MD)
Entity type:Individual
Prefix:
First Name:SAIRA
Middle Name:M
Last Name:HASSAN
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:4301 W MARKHAM ST # 783
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-7199
Mailing Address - Country:US
Mailing Address - Phone:501-686-8511
Mailing Address - Fax:501-686-6342
Practice Address - Street 1:315 N SHILOH RD
Practice Address - Street 2:SUITE 101
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-6682
Practice Address - Country:US
Practice Address - Phone:972-487-8866
Practice Address - Fax:972-487-8190
Is Sole Proprietor?:No
Enumeration Date:2009-05-29
Last Update Date:2021-10-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL8633207RH0003X
ARE-13821207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology