Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 253525 | NY |
N | 111NI0900X | Internist | 253525 | NY |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 58906 | MN |
N | 207RC0000X | Internist - Cardiovascular Disease | 58906 | MN |
NPI | 1114180429 |
---|---|
Provider Name | Antoine Heni Chaanine |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-4337 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2008 |
Last Update Date | 10/04/2018 |