Organization Active NPI

R Hanna, MD, PLLC

  • Internal Medicine Physician
  • Royal Oak, MI
National Provider Identifier
1124611249
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
R HANNA, MD, PLLC
Practice address
30701 Woodward Ave Ste 314
Royal Oak, MI 48073-0991
Phone
(248) 288-6500
Fax
(248) 288-2272
NPI assigned
Feb 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Authorized official

Name
Mr. Raied M Hanna, MD
Title
Owner
Phone
(586) 718-9122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

30701 Woodward Ave Ste 314
Royal Oak, MI 48073-0991

Mailing address

30701 Woodward Ave Ste 314
Royal Oak, MI 48073-0991
Phone (248) 288-6500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1124611249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30701 WOODWARD AVE STE 314",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730991",
            "telephone_number": "248-288-6500",
            "fax_number": "248-288-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30701 WOODWARD AVE STE 314",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730991",
            "telephone_number": "248-288-6500",
            "fax_number": "248-288-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R HANNA, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "RAIED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-718-9122",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.