Individual
HANI SHENNIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3850 E BASELINE RD STE 103, MESA, AZ 85206-4403
(480) 722-7589
(480) 857-8313
Mailing address
PO BOX 7929, CHANDLER, AZ 85246-7929
(480) 722-7589
(480) 857-8313
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
372-18
AZ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4885
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151193
—
AZ
01
—
860338466
TAX ID
AZ
01
—
P00356422
RAILROAD MEDICARE
AZ
01
—
WCSKQ
SUN HEALTH GROUP#
AZ
Enumeration date
09/15/2006
Last updated
01/14/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us