Individual provider · Type 1 NPI
Passant Hassan Ibrahim Hassa Mohamed, MD
Nuclear Imaging & Therapy Physician · Worcester, MA
NPI number
1104566652
Active
Practice location
55 Lake Ave N
Worcester, MA 01655-0002
Mailing address
211 E Beacon St Apt A
Alhambra, CA 91801-6189
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Nuclear Imaging & Therapy Physician Primary | 207UN0902X | A200916 (CA) |
Nuclear Imaging & Therapy Physician: A nuclear medicine physician who specializes in nuclear imaging and therapy.
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About NPI 1104566652
Passant Hassan Ibrahim Hassa Mohamed, MD's National Provider Identifier is 1104566652, issued on Mar 31, 2022. The primary taxonomy on file is Nuclear Imaging & Therapy Physician (207UN0902X), and the practice location is in Worcester, MA. The record was last updated on Jun 12, 2025.