Individual
DR. HANNA K. FANOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 N 1900 E RM 4A100, SALT LAKE CITY, UT 84132-0002
(801) 581-2121
Mailing address
30 N 1900 E RM 4A100, SALT LAKE CITY, UT 84132-0002
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10070653
TX
207RC0000X
Cardiovascular Disease Physician
Primary
13296086-1205
UT
Other
Enumeration date
05/01/2020
Last updated
03/09/2023
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