Basic Information
Provider Information
NPI: 1770575441
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GUVEN
FirstName: HASAN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3686 GRANDVIEW PKWY
Address2: SUITE 720
City: BIRMINGHAM
State: AL
PostalCode: 352433407
CountryCode: US
TelephoneNumber: 2059717500
FaxNumber:  
Practice Location
Address1: 3686 GRANDVIEW PKWY
Address2: SUITE 720
City: BIRMINGHAM
State: AL
PostalCode: 352433407
CountryCode: US
TelephoneNumber: 2059717500
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/18/2005
LastUpdateDate: 09/18/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/18/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0011X26728ALY Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
207RC0000X26728ALN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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