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Individual

HASSAN K HONAINY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 ARH LANE, STE 400, JACKSON RIVER NEPHROLOGY, LOW MOOR, VA 24457
(540) 862-7064
(540) 862-5727
Mailing address
6020 RICHMOND HWY, STE 102, ALEXANDRIA, VA 22303-2157
(443) 393-3653

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101052321
VA
207RN0300X
Nephrology Physician
18529
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005869404
VA
05
006099475
VA
05
0078034000
WV
01
282210
ANTHEM
VA
01
54183971800
WV WORKERS COMPENSATION
WV
01
541839718030
BS MOUNTAIN STATE
VA
01
541839718053
BS MOUNTAIN STATE
WV
01
5807477
AETNA
Enumeration date
06/16/2005
Last updated
03/20/2021
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