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Individual
DR. HANI M AGRAMA
Active
Individual
DR. HANI M AGRAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME23404
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050665600
—
FL
01
—
05290
BLUE SHIELD
FL
01
—
4133237
AETNA PROVIDER NUMBER
—
01
—
ME23404
MEDICAL LICENSE NUMBER
FL
Enumeration date
08/24/2005
Last updated
03/07/2023
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