NPIMap

Organization Active NPI

Wahid Hanna MD PC

  • Hematology & Oncology Physician
  • Knoxville, TN
National Provider Identifier
1053514547
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
WAHID HANNA MD PC
Practice address
11440 Parkside Dr
Suite 202
Knoxville, TN 37934-2658
Phone
(865) 544-9171
Fax
(865) 305-6886
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Wahid T Hanna, M.D.
Title
President
Phone
(865) 544-9171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

11440 Parkside Dr
Suite 202
Knoxville, TN 37934-2658

Mailing address

1934 Alcoa Hwy BLDG D
Suite 472
Knoxville, TN 37920-1524
Phone (865) 544-9171

Other identifiers 1

IdentifierTypeStateIssuer
3182815MedicaidTN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1053514547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 ALCOA HWY BLDG D",
            "address_2": "SUITE 472",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201524",
            "telephone_number": "865-544-9171",
            "fax_number": "865-305-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11440 PARKSIDE DR",
            "address_2": "SUITE 202",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342658",
            "telephone_number": "865-544-9171",
            "fax_number": "865-305-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAHID HANNA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "WAHID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-544-9171",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3182815",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.