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Individual

IBRAHIM HANNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2501 PARKERS LN, ALEXANDRIA, VA 22306-3209
(703) 664-7014
(703) 664-7235
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101271318
VA
208600000X
Surgery Physician
21422
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D69322
MD LIC
Enumeration date
03/09/2006
Last updated
02/22/2021
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