Individual
ASHRAF H HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6507 E STATE BLVD, FORT WAYNE, IN 46815-7026
(260) 486-3300
(260) 486-3600
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01043537
IN
207Q00000X
Family Medicine Physician
Primary
01043537A
IN
207V00000X
Obstetrics & Gynecology Physician
01043537A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200002760
—
IN
Enumeration date
11/22/2006
Last updated
04/06/2026
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