Individual
DR. MILAD HELMY HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8175 W US HIGHWAY 20, SHIPSHEWANA, IN 46565
(260) 768-7432
(260) 768-7482
Mailing address
3702 NEW VISION DR BLDG B, FORT WAYNE, IN 46845-1703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01073600A
IN
207Q00000X
Family Medicine Physician
4301105158
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982674347
—
MI
Enumeration date
01/26/2006
Last updated
10/03/2022
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