# DR. CARL ROBERT HANNAH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1700848363
- **Gender:** Man
- **Credential:** M.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101235860 | VA | Yes |

## Other

- **Enumeration date:** 04/06/2006
- **Last updated:** 01/25/2022

## 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 |