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NPI Code Detail

MEDICARE: DR. RABBIE KRIAKOSS HANNA M.D.

MEDICARE: DR. RABBIE KRIAKOSS HANNA M.D.
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
1207V00000XObstetrics & Gynecology Physician4301083686MI

General Provider Information

NPI Number : 1164613931
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RABBIE KRIAKOSS HANNA M.D.
Provider Business Mailing Address
First Line : 33814 TWICKINGHAM DR
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48310-6357
Country : US
Telephone Number : 586-978-7719
Fax Number :
Provider Business Practice Location Address
First Line : 3990 JOHN R ST
Second Line : SUITE 7 BRUSH NORTH
City : DETROIT
State : MI
Zip : 48201-2018
Country : US
Telephone Number : 313-993-4030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2007
Last Update Date : 08/07/2007

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