Individual
HANNAN IMAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3 GATES CIRCLE, DIABETES AND ENDOCRINOLOGY CENTER AT KALEIDA HEALTH, BUFFALO, NY 14209-1120
(716) 887-4069
(716) 887-5111
Mailing address
3 GATES CIRCLE, DIABETES AND ENDOCRINOLOGY CENTER AT KALEIDA HEALTH, BUFFALO, NY 14209-1120
(716) 887-4069
(716) 887-5111
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
012511-1
NY
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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