# KAMIL I HANNA

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

## Provider details

- **NPI number:** 1881632099
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | 059422 | GA | — |
| 207RC0000X | Cardiovascular Disease Physician | 2001010086 | MO | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 059422 | GA | Yes |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 02/14/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 191805 | BLUE CROSS/BLUE SHIELD | — |
| 05 | — | 205682511 | — | MO |