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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HASSAN SOUIDAN, MD

Deactivated

HASSAN SOUIDAN, MD is a Clinical Neurophysiology healthcare provider located in ELIZABETHTOWN, Kentucky. NPI 1396361432 is deactivated in the NPPES registry. Verify at CMS.

Clinical Neurophysiology · ELIZABETHTOWN, KY

This NPI has been deactivated. The record was deactivated on January 17, 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 Deactivated NPIs are no longer valid for billing or credentialing.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
1396361432
Provider Type
Individual
Gender
Male
NPI Issued
Jun 24, 2020 (1.5671232876712 yrs)
Last Updated
Jun 9, 2025
Deactivated
Jan 17, 2022
License
60190 (KY)

Practice Information

Address
101 FINANCIAL PL STE 210
ELIZABETHTOWN, KY, 427018403
Browse KY providers · Browse ZIP 42701
Phone
2707065515
Fax
2707065516
Primary Specialty
Clinical Neurophysiology
2084N0600X
Additional Specialty
Clinical Neurophysiology
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.