Individual
SCOTT A HANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 W UNIVERSITY AVE STE 300, MUNCIE, IN 47303-3432
(765) 289-5420
(765) 281-2065
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01052073A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083155
BCBS
—
05
—
200264410
—
IN
05
—
200264410A
—
IN
01
—
60059683
RAILROAD MEDICARE
—
01
—
M12240471
MEDICARE PTAN
IN
Enumeration date
07/12/2006
Last updated
10/18/2023
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