Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 20A9548 | CA |
Y | 208600000X | Surgeon | 20A9548 | CA |
NPI | 1023027992 |
---|---|
Provider Name | Ziad Hanna |
First Address | Ukiah, CA 95482-2739 |
Second Address | Ukiah, CA 95482-4533 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2006 |
Last Update Date | 16/06/2011 |