Provider Demographics
NPI:1356321582
Name:RAZEK, HANA (MD)
Entity Type:Individual
Prefix:
First Name:HANA
Middle Name:
Last Name:RAZEK
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:PO BOX 3462
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67201-3462
Mailing Address - Country:US
Mailing Address - Phone:316-685-6236
Mailing Address - Fax:316-652-0340
Practice Address - Street 1:9300 E 29TH ST N
Practice Address - Street 2:SUITE 208
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-2182
Practice Address - Country:US
Practice Address - Phone:316-636-5666
Practice Address - Fax:316-652-0340
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-20218207ZP0102X, 207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine