Active NPI
R Hanna, MD, PLLC
- Internal Medicine Physician
- Royal Oak, MI
National Provider Identifier
1124611249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryNPI 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.