Provider Demographics
NPI:1275567026
Name:HANNA, AYMAN GEORGE (MD)
Entity Type:Individual
Prefix:DR
First Name:AYMAN
Middle Name:GEORGE
Last Name:HANNA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:898 SKYE LN
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-1451
Mailing Address - Country:US
Mailing Address - Phone:727-992-4413
Mailing Address - Fax:813-909-4593
Practice Address - Street 1:898 SKYE LN
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-1451
Practice Address - Country:US
Practice Address - Phone:727-992-4413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME901542084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME90154OtherSTATE LICENCE
FLH63387Medicare UPIN
FL30418AMedicare ID - Type Unspecified