Individual
DR. ABDUL HANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
960 S. COLUMBIA RD, GRAND FORKS, ND 58201
(701) 780-5400
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2018009560
MO
207RH0000X
Hematology (Internal Medicine) Physician
125.074024
IL
207RH0000X
Hematology (Internal Medicine) Physician
Primary
17432
ND
Other
Enumeration date
12/28/2015
Last updated
07/28/2022
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