Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Choudhury S Hasan, MD

Individual provider Gastroenterology Physician · NPI 1629187752

Dr. Choudhury S Hasan, MD is a Gastroenterology in Rego Park, New York. Qualified in 1986, 40 years ago. Practices with Canton-Potsdam Hospital, a 239-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan and New York.

Years since qualifying
40
Licensed in
MI, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9712 63rd Dr Suite-Ca
Rego Park, NY 11374-2243
Phone: (718) 830-3388
Fax: (718) 732-1667
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 — (248) 898-5000
  • 1234 Napier Ave, Saint Joseph, MI 49085-2112 — (269) 985-4632

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 187727 (NY)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 4301116720 (MI)

Record details

NPI number1629187752
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 30, 2006
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Canton-Potsdam Hospital — 239 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rego Park