MEDICARE: DR. PHILIP ANTHONY HANRAHAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	9500604	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184626939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILIP ANTHONY HANRAHAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 60447
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-0447
Country	:	US
Telephone Number	:	704-384-1925
Fax Number	:	704-384-1930

Provider Business Practice Location Address
First Line	:	15825 JOHN J DELANEY DR
Second Line	:	SUITE 200
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-3146
Country	:	US
Telephone Number	:	704-384-1925
Fax Number	:	704-384-1930

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	04/24/2023

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Directions to “ DR. PHILIP ANTHONY HANRAHAN M.D.” Practice Location

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