IndividualActive
Adey Hasan, MD
NPI 1043516511 · Nephrology Physician · St Augustine, FL
Provider details
- NPI number
- 1043516511
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME122715 (FL)
Practice location
204 Southpark Cir E
St Augustine, FL 32086-5135
Phone: (904) 829-8300
Fax: (904) 829-8310
Mailing address
Po Box 1779
St Augustine, FL 32085-1779
Registry dates
- Enumerated
- 2011-02-01
- Last updated
- 2020-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.