Provider Demographics
NPI:1164650453
Name:HANAFI, SANA (MD)
Entity Type:Individual
Prefix:
First Name:SANA
Middle Name:
Last Name:HANAFI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 W SWARTZVILLE RD
Mailing Address - Street 2:
Mailing Address - City:REINHOLDS
Mailing Address - State:PA
Mailing Address - Zip Code:17569-9641
Mailing Address - Country:US
Mailing Address - Phone:717-484-4347
Mailing Address - Fax:717-484-0968
Practice Address - Street 1:30 W SWARTZVILLE RD
Practice Address - Street 2:
Practice Address - City:REINHOLDS
Practice Address - State:PA
Practice Address - Zip Code:17569-9641
Practice Address - Country:US
Practice Address - Phone:717-484-4347
Practice Address - Fax:717-484-0968
Is Sole Proprietor?:No
Enumeration Date:2009-06-25
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD446647207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA246290Medicare PIN