R Hanna, Md, Pllc | |
30701 Woodward Ave Ste 314 Royal Oak MI 48073-0991 | |
(248) 288-6500 | |
(248) 288-2272 |
Full Name | R Hanna, Md, Pllc |
---|---|
Speciality | Internal Medicine |
Location | 30701 Woodward Ave Ste 314, Royal Oak, Michigan |
Authorized Official Name and Position | Raied M Hanna (OWNER) |
Authorized Official Contact | 5867189122 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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R Hanna, Md, Pllc 30701 Woodward Ave Ste 314 Royal Oak MI 48073-0991 Ph: (248) 288-6500 | R Hanna, Md, Pllc 30701 Woodward Ave Ste 314 Royal Oak MI 48073-0991 Ph: (248) 288-6500 |
NPI Number | 1124611249 |
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Provider Enumeration Date | 02/19/2021 |
Last Update Date | 02/19/2021 |
Medicare PECOS PAC ID | 3577970482 |
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Medicare Enrollment ID | O20210320000079 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124611249 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Raied M Hanna |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417125519 PECOS PAC ID: 9032282546 Enrollment ID: I20080716000746 |
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