Male or Other

Yasir Hatahet MD

Pulmonary Disease Physician in Fond Du Lac, WI(View on Map)

Full Name

Yasir Hatahet MD

NPI Number

1407837537

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/07/2005

Specialties

(Taxonomies)

Licenses

State

Wisconsin

License Number

46206

Contact
Information

Purpose

Mailing
Location

Address

420 E DIVISION ST
420 E DIVISION ST

City

Fond Du Lac
Fond Du Lac

State

WI
WI

Postal Code

54935-4560
54935-4560

Country

US
US

Telephone Number

(920) 926-8340
(920) 926-8485

Identifiers

Identifier

34447900
367884049005

Identifier State

WV
WI

Identifier Issuer

Unknown
BLUE CROSS BLUE SHIELD

Health Information Exchange

Endpoint Type

DIRECT
FHIR

Endpoint

yhatahet332574@direct-ehr-ssmhc.com
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/

Endpoint Description

Unknown
Unknown

Use

Direct
Other

Content Type

Other

Other Description:
yhatahet332574@direct-ehr-ssmhc.com

Other

Other Description:
CCD

Affiliation

N
N

Endpoint Location

420 E Division StFond Du Lac, WI549354560US
420 E Division StFond Du Lac, WI549354560US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/09/2020

Provider Address