MEDICARE: WAHID T HANNA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0000X	Hematology (Internal Medicine) Physician	4771413	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093761124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WAHID T HANNA MD

Provider Business Mailing Address
First Line	:	1926 ALCOA HWY
Second Line	:	BLDG. F, SUITE 380
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-1545
Country	:	US
Telephone Number	:	865-544-9171
Fax Number	:	865-305-6886

Provider Business Practice Location Address
First Line	:	1926 ALCOA HWY
Second Line	:	BLDG. F, SUITE 380
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-1545
Country	:	US
Telephone Number	:	865-544-9171
Fax Number	:	865-305-6886

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	01/22/2014

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Directions to “ WAHID T HANNA MD” Practice Location

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