MEDICARE: HANNAH E. EDWARDS MD

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	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	MD164798	OR
2	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	MD60662917	WA
3	2083X0100X	Occupational Medicine Physician	C127791	CA
4	2083X0100X	Occupational Medicine Physician	4799482-1205	UT
5	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	C127791	CA

General Provider Information

NPI Number	:	1952491540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH E. EDWARDS MD

Provider Business Mailing Address
First Line	:	275 HOSPITAL PKWY STE 565
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95119-1140
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	275 HOSPITAL PKWY # 501
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95119-1106
Country	:	US
Telephone Number	:	408-972-6800
Fax Number	:

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

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	09/20/2023

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