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

Dr. Suheb Mashkoor Hasan, MD

Individual provider Neurology Physician · NPI 1104933621

Dr. Suheb Mashkoor Hasan, MD is a Neurology in Dearborn, Michigan. Qualified in 1992, 34 years ago. Practices with McLaren Port Huron, a 50-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
34
Licensed in
MI
In the registry since
2006
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

3815 Pelham St Ste 1
Dearborn, MI 48124-3852
Phone: (313) 593-3915
Fax: (313) 792-8812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 4301088848 (MI)

Record details

NPI number1104933621
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 23, 2006
Last updated in NPPESJanuary 5, 2017
Mailing address3815 Pelham St, Ste 1, Dearborn, MI 48124-3852

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice McLaren Port Huron — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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