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

Samir Hasan

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1063825768

Samir Hasan is a Plastic and Reconstructive Surgery Physician in Englewood, Colorado. Licensed in Colorado and New York. Registered with an NPI since 2014.

Licensed in
CO, NY
In the registry since
2014
Specialties on file
3

Practice location Address checks out

3333 S Bannock St
Englewood, CO 80110-2432
Phone: (720) 677-5649
Show map & directions

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

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 65914 (CO)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 301986 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063825768
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 10, 2014
Last updated in NPPESMay 12, 2023
Certification dateApril 3, 2023
Mailing address3333 S Bannock St Ste 150, Englewood, CO 80110-2514

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