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Organization

WAHID HANNA MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WAHID T HANNA M.D. (PRESIDENT)
(865) 544-9171
Entity
Organization

Contact information

Practice address
11440 PARKSIDE DR, SUITE 202, KNOXVILLE, TN 37934-2658
(865) 544-9171
(865) 305-6886
Mailing address
1934 ALCOA HWY BLDG D, SUITE 472, KNOXVILLE, TN 37920-1524
(865) 544-9171
(865) 305-6886

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3182815
TN
Enumeration date
06/11/2007
Last updated
04/14/2008
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