Individual
PEDRO J HANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 SUNSET WAY, SUITE A-3, HENDERSON, NV 89014-2015
(702) 434-9690
(702) 436-7266
Mailing address
1701 W CHARLESTON BLVD, SUITE 210, LAS VEGAS, NV 89102-2325
(702) 382-2919
(702) 474-0620
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
7694
NV
207RP1001X
Pulmonary Disease Physician
J3114
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115395904
—
TX
05
—
115395905
—
TX
05
—
115395906
—
TX
01
—
7694
MEDICAL LICENSE
NV
01
—
8S3100
BC/BS
TX
01
—
P000185892
RR MEDICARE
TX
Enumeration date
06/23/2006
Last updated
03/06/2013
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