Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 04-36594 | KS |
N | 208600000X | Surgeon | 04-36594 | KS |
N | 208200000X | Surgeon | 2013018489 | MO |
N | 208600000X | Surgeon | 2013018489 | MO |
Y | 2086S0120X | Pediatric Surgery | 36994 | AL |
NPI | 1578903480 |
---|---|
Provider Name | Dr. Hanna Alemayehu |
First Address | Mobile, AL 36640-0480 |
Second Address | Mobile, AL 36604-1541 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2013 |
Last Update Date | 11/01/2021 |