Organization
PAUL L. HANNAH, M.D. , M.S. LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL L. HANNAH MD, M.S, LTD (CEO)
(219) 981-4800
Entity
Organization
Contact information
Practice address
3787 GRANT ST, GARY, IN 46408-2142
(219) 981-4800
(219) 981-4805
Mailing address
3787 GRANT ST, GARY, IN 46408-2142
(219) 981-4800
(219) 981-4805
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100213680A
—
IN
Enumeration date
08/04/2017
Last updated
07/21/2022
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