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Individual

NASSER H HANNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
535 BARNHILL DR, RT 473, INDIANAPOLIS, IN 46202-5112
(317) 278-0054
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
01050850
IN
207RX0202X
Medical Oncology Physician
Primary
01050850A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000175261
ANTHEM PTAN
IN
05
200307780
IN
Enumeration date
04/25/2006
Last updated
02/24/2025
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