NPI 1194456103

Mohammed Moizul Hassan, MD

Practitioner Internal Medicine Physician La Porte, IN

Practice location

Address: 1331 State St # 340, La Porte, IN 46350-3112
Phone: (219) 326-1234

Registered specialties (3)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 01098602A (IN)

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Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 125.080257 (IL)

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Allopathic & Osteopathic Physicians Taxonomy 207RS0012X Licence 036.175601 (IL)

Registry record

NPI: 1194456103
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jun 2022
Record last updated: 22 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.