Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 35060156 | OH |
NPI | 1023087806 |
---|---|
Provider Name | Dr. Sherif I Hanna |
First Address | Youngstown, OH 44505-1846 |
Second Address | Youngstown, OH 44505-1846 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0998103 | (05) | OH |
F48093 | (02) | OH |