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NPI Code Detail

MEDICARE: IMAN HANNA MD

MEDICARE:   IMAN  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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician25MA07063900NJ

Other Identifiers

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

General Provider Information

NPI Number : 1659448660
Entity Type Code : Individual
Provider Name (Legal Business Name) : IMAN HANNA MD
Provider Business Mailing Address
First Line : 222 STATION PLZ N STE 620
Second Line : WINTHROP UNIVERSITY HOSPITAL, DEPT OF PATHOLOGY
City : MINEOLA
State : NY
Zip : 11501-3893
Country : US
Telephone Number : 516-663-2450
Fax Number : 516-663-4584
Provider Business Practice Location Address
First Line : 222 STATION PLZ N STE 620
Second Line : WINTHROP UNIVERSITY HOSPITAL, DEPT OF PATHOLOGY
City : MINEOLA
State : NY
Zip : 11501-3893
Country : US
Telephone Number : 516-663-2450
Fax Number : 516-663-4584
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 04/12/2021

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Directions to “ IMAN HANNA MD” Practice Location

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