Healthcare Provider Details

I. General information

NPI: 1124014949
Provider Name (Legal Business Name): ABEER E HANNA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2005
Last Update Date: 12/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5409 FIELDSTREAM DR
EXPORT PA
15632
US

IV. Provider business mailing address

325 NEW CASTLE RD
BUTLER PA
16001-2418
US

V. Phone/Fax

Practice location:
  • Phone: 724-612-7200
  • Fax:
Mailing address:
  • Phone: 724-612-7200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD071977L
License Number StatePA

VII. Legacy identifiers

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: