Provider Demographics
NPI:1326249657
Name:RAASCH, HANNAH ERIN (MD)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:ERIN
Last Name:RAASCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:327 W 200 S APT 304
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84101-4211
Mailing Address - Country:US
Mailing Address - Phone:801-455-9067
Mailing Address - Fax:
Practice Address - Street 1:5169 S COTTONWOOD ST STE 520
Practice Address - Street 2:BLDG 2, ECCLES OUTPATIENT CENTER
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107-6767
Practice Address - Country:US
Practice Address - Phone:801-507-3500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT82239351205207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease