| Ashraf H. Hanna, M.d., P.c. | |
|
4306 Lake Avenue Fort Wayne IN 46815-7222 | |
| (260) 422-1906 | |
| (260) 422-1925 |
| Full Name | Ashraf H. Hanna, M.d., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 4306 Lake Avenue, Fort Wayne, Indiana |
| Authorized Official Name and Position | Ashraf H. Hanna (PRESIDENT) |
| Authorized Official Contact | 2604221906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashraf H. Hanna, M.d., P.c. 4306 Lake Avenue Fort Wayne IN 46815-7222 Ph: (260) 422-1906 | Ashraf H. Hanna, M.d., P.c. 4306 Lake Avenue Fort Wayne IN 46815-7222 Ph: (260) 422-1906 |
| NPI Number | 1023328234 |
|---|---|
| Provider Enumeration Date | 10/21/2010 |
| Last Update Date | 07/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023328234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01043537 (Indiana) | Primary |
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