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

Syed Ghazanfar Hasan, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053809442

Syed Ghazanfar Hasan, DO is a Psychiatry in Johnson City, Tennessee. Qualified in 2018, 8 years ago. Practices with Loyola Medical Group LLC, a 123-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Partly verified

Some contact details are missing from the federal record.

Etsu Psychiatry And Behavioral Sciences Dept 1276 Gilbreath DR
Johnson City, TN 37604
Phone: (423) 439-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 036161432 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053809442
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 1, 2018
Last updated in NPPESOctober 3, 2022
Certification dateOctober 3, 2022

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Loyola Medical Group Llc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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