Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME28033 | FL |
NPI | 1023067212 |
---|---|
Provider Name | Dr. Malek Hanano |
First Address | Orlando, FL 32819-7935 |
Second Address | Orlando, FL 32819-7935 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2006 |
Last Update Date | 19/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020038982 | RR MEDICARE (01) | FL |
067007300 | (05) | FL |
0975936 | AETNA (01) | FL |
24639 | WELLCARE/STAYWELL/HLTEASE (01) | FL |
53485 | BCBS OF FL (01) | FL |
592661887 | UNITED HEALTHCARE (01) | FL |
D56546 | (02) | FL |