Healthcare Provider Details

I. General information

NPI: 1992237747
Provider Name (Legal Business Name): DAVID HANNA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2017
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1161 21ST AVE S MEDICAL CENTER NORTH SUITE CCC-4312
NASHVILLE TN
37232-0011
US

IV. Provider business mailing address

1161 21ST AVE S MEDICAL CENTER NORTH SUITE CCC-4312
NASHVILLE TN
37232-0011
US

V. Phone/Fax

Practice location:
  • Phone: 615-343-6642
  • Fax:
Mailing address:
  • Phone: 615-343-6642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number036180616
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: