Individual
DR. DONNA J HANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-5720
(410) 328-5685
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-5720
(410) 328-5685
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
D47161
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035845200
—
DC
05
—
100901000
—
MD
01
—
110169417
BLUE CROSS/BLUE SHIELD
MD
05
—
1114970100
—
DE
05
—
5841143
—
VA
05
—
9840285000
—
WV
Enumeration date
05/18/2006
Last updated
11/23/2010
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