MEDICARE: HANI MEDICAL PLLC

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

General Provider Information

NPI Number	:	1700740099
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANI MEDICAL PLLC

Provider Business Mailing Address
First Line	:	54 SPRING LN
Second Line	:
City	:	CHAPPAQUA
State	:	NY
Zip	:	10514-2608
Country	:	US
Telephone Number	:	914-402-0586
Fax Number	:

Provider Business Practice Location Address
First Line	:	54 SPRING LN
Second Line	:
City	:	CHAPPAQUA
State	:	NY
Zip	:	10514-2608
Country	:	US
Telephone Number	:	914-402-0586
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. NIMA HANI
Credential	:	MD
Telephone Number	:	914-402-0586

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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