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Individual
WAFA S HANNA
Active
Individual
WAFA S HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD148577L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018193140001
—
PA
01
—
0155302000
IBC
—
01
—
01697002
CBC
—
01
—
1117565
AMERIHEALTH MERCY
—
01
—
181760
HIGHMARK BLUE SHIELD
—
01
—
P002825
GATEWAY
—
Enumeration date
09/23/2005
Last updated
08/31/2022
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