Healthcare Provider Details

I. General information

NPI: 1356929418
Provider Name (Legal Business Name): HANNAH D. HROBUCHAK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2021
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR
CHAPEL HILL NC
27514-4220
US

IV. Provider business mailing address

101 MANNING DR
CHAPEL HILL NC
27514-4220
US

V. Phone/Fax

Practice location:
  • Phone: 844-862-7337
  • Fax: 919-962-6690
Mailing address:
  • Phone: 844-862-7337
  • Fax: 919-962-6690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2025-02100
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number12974708-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: