Healthcare Provider Details

I. General information

NPI: 1336405349
Provider Name (Legal Business Name): MATTHEW GEORGE HANNA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2012
Last Update Date: 12/05/2025
Certification Date: 05/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5230 CENTRE AVE
PITTSBURGH PA
15232-1304
US

IV. Provider business mailing address

5230 CENTRE AVE
PITTSBURGH PA
15232-1304
US

V. Phone/Fax

Practice location:
  • Phone: 412-623-2121
  • Fax:
Mailing address:
  • Phone: 412-623-2121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number281727
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberMD458984
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code207ZC0008X
TaxonomyClinical Informatics (Pathology) Physician
License Number281727
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code207ZC0008X
TaxonomyClinical Informatics (Pathology) Physician
License NumberMD458984
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: