Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 0101248468 | VA |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 2017-00598 | NC |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | MT187450 | PA |
NPI | 1033325345 |
---|---|
Provider Name | Hannah Hubahib Florida |
First Address | Charlotte, NC 28275-1069 |
Second Address | Greenville, NC 27834-7503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2007 |
Last Update Date | 16/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1033325345 | (05) | NC |
19RFW | BCBS OF NC (01) | NC |
NCY906A | MEDICARE (01) | NC |