Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALFATAH MUHUDIN HASSAN
Deactivated Sole ProprietorALFATAH MUHUDIN HASSAN is a Emergency Medical Technician, Paramedic healthcare provider located in CUDAHY, Wisconsin. NPI 1164173605 is deactivated in the NPPES registry. Verify at CMS.
Emergency Medical Technician, Paramedic · CUDAHY, WI
This NPI has been deactivated.
The record was deactivated on July 9, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1164173605
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 17, 2022 (0.47397260273973 yrs)
- Last Updated
- Aug 31, 2023
- Deactivated
- Jul 9, 2022
- License
-
H2500139810006 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5515 S DISCH AVE APT 2CUDAHY, WI, 531102630Browse WI providers · Browse ZIP 53110
- Phone
- 4143343341
- Primary Specialty
-
Emergency Medical Technician, Paramedic
146M00000X
Other Emergency Medical Technician, Paramedic Providers in CUDAHY, WI
| Name | Credential | NPI |
|---|---|---|
| ABDIRIZAK MUHUDIN HASSAN | — | 1356148068 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.