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Hassan N Taki

  • Male

Medical Specialty

Professional ID

  • NPI: 1114911807
  • PECOS ID: 0840255741
  • Enrollment ID: I20120307000508
  • Credential(MD, DO, DPM): MD
  • Medical School:
  • Medical School Graduation Year: 1980

Hospital Service

  • Hospital CCN1: 360071
  • Business Name (LBN)1: Van Wert County Hospital

Medical Practices

  • Organization Name: Fort Wayne Medical Institute
  • Group Practice ID assigned by PECOS: 7214992114
  • Number of Group Practice member: 0

Location

  • Address1: 4424 E State Blvd
  • Address2:
  • City: Fort Wayne
  • State: Indiana
  • Zip Code: 46815
  • Phone Number: (260)483-4433

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):