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

Mohammed Moizul Hassan, MD

Individual provider Internal Medicine Physician · NPI 1194456103

Mohammed Moizul Hassan, MD is an Internal Medicine in LA Porte, Indiana. Qualified in 2017, 9 years ago. Licensed in Illinois and Indiana.

Years since qualifying
9
Licensed in
IL, IN
In the registry since
2022
Specialties on file
3
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

1331 State St # 340
LA Porte, IN 46350-3112
Phone: (219) 326-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 01098602A (IN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125.080257 (IL)
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X · Licence 036.175601 (IL)

Record details

NPI number1194456103
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2022
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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