Individual
JOE M HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4115 OFFICE PLAZA BLVD, INDIANAPOLIS, IN 46254-2408
(317) 297-3507
(317) 290-2557
Mailing address
4115 OFFICE PLAZA BLVD, INDIANAPOLIS, IN 46254-2408
(317) 297-3507
(317) 290-2557
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01025363A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083794
BCBS
IN
Enumeration date
09/01/2006
Last updated
07/09/2007
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