Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | MD60015837 | WA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | MD60015837 | WA |
NPI | 1073732418 |
---|---|
Provider Name | Ramy Lewez Hanna |
First Address | Mount Vernon, WA 98274-4127 |
Second Address | Mount Vernon, WA 98274-4127 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 12/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1073732418 | (05) | WA |
295630 | LABOR & INDUSTRIES (01) | WA |