Individual ProviderIman HassanInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address6410 Fannin St, 600, Houston, TX 77030-3000(832) 325-7222(713) 500-3500PECOS EnrollmentBased on the most recent information from CMS, provider Iman Hassan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 8:41 AM.Profile DetailsProvider ID1598919052Provider TypeIndividualFull NameHassan, ImanCredentialMDGenderFemaleSole ProprietorNoEnumeration Date11/11/2008Last Updated9/28/2009Contact InformationPractice LocationPractice Address6410 Fannin St, 600, Houston, TX 77030-3000Phone(832) 325-7222FaxUnlisted FaxMailing LocationMailing AddressPO Box 201088, Houston, TX 77216-1088Phone(713) 500-3500FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207RP1001XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseN2559TexasCode207RP1001XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense236054New YorkProvider IdentifiersIDDescriptionIssuerID202815102DescriptionOtherIssuerCSHCNTexasID202815101DescriptionMedicaidIssuerUnlistedTexasID8CA315DescriptionOtherIssuerBCBSTexas