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Individual
DR. CARL ROBERT HANNAH
Active
Individual
DR. CARL ROBERT HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101235860
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010098891
VIRGINIA PREMIER
VA
05
—
010098891
—
VA
01
—
144661
ANTHEM PROVIDER NUMBER
VA
05
—
1700848363
—
VA
01
—
2065534
UNITED HEALTHCARE
VA
01
—
245710
SOUTHERN HEALTH PROVIDER
VA
01
—
3131709
MAMSI PROVIDER NUMBER
VA
01
—
5389156
AETNA PROVIDER NUMBER
VA
01
—
7161454
CIGNA PROVIDER NUMBER
VA
01
—
P00240702
MEDICARE RAILROAD
VI
Enumeration date
04/06/2006
Last updated
01/25/2022
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