Individual
PETER C. HANLEY
Active
Individual
PETER C. HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01038244A
IN
207RI0011X
Interventional Cardiology Physician
01038244A
IN
207UN0901X
Nuclear Cardiology Physician
01038244A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000087426
ANTHEM
IN
05
—
0781695
—
OH
05
—
100262190
—
IN
01
—
260690NNN
MEDICARE
IN
01
—
P00783720
RAILROAD
IN
Enumeration date
01/19/2006
Last updated
09/23/2020
Update your record
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