Individual
IBRAHIM ROBERT HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
833 PRINCETON AVE SW, POB III, SUITE 200A, BIRMINGHAM, AL 35211-1323
(205) 786-2776
(205) 786-6227
Mailing address
PO BOX 830605, BIRMINGHAM, AL 35283-0605
(205) 786-2776
(205) 786-6227
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
00027426
AL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
27426
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
STATE LICENSE
00027426
AL
Enumeration date
06/21/2006
Last updated
03/07/2023
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