Individual
DR. SAMEH R HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 E HIGHLAND AVE STE 251, SAN BERNARDINO, CA 92404-3800
(909) 864-4700
(909) 383-4009
Mailing address
3400 DATA DR, ATTENTION: CREDENTIALING AND PAYER ENROLLMENT DEPT, RANCHO CORDOVA, CA 95670
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
C168064
CA
207RP1001X
Pulmonary Disease Physician
Primary
168064
CA
Other
Enumeration date
11/17/2006
Last updated
10/23/2025
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