Organization
SAM MHANNA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOUSSAM MHANNA MD (OWNER)
(440) 964-7121
Entity
Organization
Contact information
Practice address
1111 LAKE AVE, ASHTABULA, OH 44004-2929
(440) 964-7121
Mailing address
1111 LAKE AVE, ASHTABULA, OH 44004-2929
(440) 964-7121
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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