Individual
ENAM BEHNAM HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1522 JANES AVE, SAGINAW, MI 48601-1819
(989) 755-0316
(989) 755-0956
Mailing address
501 LAPEER AVE, SAGINAW, MI 48607-1208
(989) 759-6464
(989) 399-8233
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301064323
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080G310660
PPO TRUST
MI
01
—
0983112
HEALTHPLUS
MI
01
—
1010150
HEALTH ADVANTAGE PPO
—
01
—
1023006806
MOLINA HEALTHCARE OF MICHIGAN
MI
05
—
1023006806
—
MI
01
—
103
COMMUNITY CHOICE
MI
01
—
108734
GREAT LAKES HEALTH PLAN OF MICHIGAN
MI
01
—
30341
HEALTH PLAN OF MICHIGAN
MI
01
—
381908328
PRIORITY HEALTH
MI
01
—
381908328
HCAP
—
01
—
5836577
AETNA
—
Enumeration date
10/06/2005
Last updated
10/04/2011
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