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Organization

ASHRAF H. HANNA, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ASHRAF H. HANNA M.D. (PRESIDENT)
(260) 422-1906
Entity
Organization

Contact information

Practice address
4306 LAKE AVENUE, FORT WAYNE, IN 46815-7222
(260) 422-1906
(260) 422-1925
Mailing address
4306 LAKE AVENUE, FORT WAYNE, IN 46815-7222
(260) 422-1906
(260) 422-1925

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01043537
IN

Other

Enumeration date
10/21/2010
Last updated
07/17/2013
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