Provider Demographics
NPI:1003350265
Name:ALSERGANI, HANI
Entity Type:Individual
Prefix:
First Name:HANI
Middle Name:
Last Name:ALSERGANI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:KING FAISAL SPECIALIST HOSPITAL. HEART CENTER
Mailing Address - Street 2:MBC 16 PO BOX 3354
Mailing Address - City:RIYADH
Mailing Address - State:CENTRAL
Mailing Address - Zip Code:11211
Mailing Address - Country:SA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:KING FAISAL SPECIALIST HOSPITAL. HEART CENTER.
Practice Address - Street 2:TAKASUSSI STREET. MBC 16
Practice Address - City:RIYADH
Practice Address - State:CENTRAL
Practice Address - Zip Code:11211
Practice Address - Country:SA
Practice Address - Phone:96611-464-7272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-07
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101261385207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease