Provider Demographics
NPI:1295019198
Name:HANA, EHAB JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:EHAB
Middle Name:JOSEPH
Last Name:HANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:EHAB
Other - Middle Name:JOSEPH
Other - Last Name:HANA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:300 20TH AVE N
Mailing Address - Street 2:STE 403
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-5180
Mailing Address - Country:US
Mailing Address - Phone:615-284-1450
Mailing Address - Fax:615-284-7150
Practice Address - Street 1:6130 NOLENSVILLE RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-6813
Practice Address - Country:US
Practice Address - Phone:615-284-1450
Practice Address - Fax:629-208-2691
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-11
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY271276207Q00000X
TN54839207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine