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Individual

FARAJALLAH M HANNA AL-KASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 HAWKINS DR, DEPT. OF RADIOLOGY, IOWA CITY, IA 52242-1009
(319) 356-8218
Mailing address
411 N CENTRAL AVE STE 200, GLENDALE, CA 91203-2092
(818) 745-6463

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
4301087094
MI
2085R0202X
Diagnostic Radiology Physician
Primary
260657
NY
2085R0204X
Vascular & Interventional Radiology Physician
6456
IA

Other

Enumeration date
07/12/2007
Last updated
01/31/2024
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