Healthcare Provider Details

I. General information

NPI: 1932510237
Provider Name (Legal Business Name): HANNAH YIN COLETTI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH HANG YIN

II. Dates (important events)

Enumeration Date: 05/08/2014
Last Update Date: 06/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 KNOX WAY
CHAPEL HILL NC
27517
US

IV. Provider business mailing address

260 MACNIDER BUILDLING CLB # 7220 UNC SCHOOL OF MEDICINE
CHAPEL HILL NC
27599-7220
US

V. Phone/Fax

Practice location:
  • Phone: 984-215-5900
  • Fax:
Mailing address:
  • Phone: 919-966-1505
  • Fax: 919-966-7299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberFILE ID 200914
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberFILE ID 200914
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1932510237
Identifier TypeMEDICAID
Identifier StateNC
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: