Provider Demographics
NPI:1437117850
Name:ASGHAR, HANNAH SUGHRA (MBBS)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:SUGHRA
Last Name:ASGHAR
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1287 SIMS ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-3851
Mailing Address - Country:US
Mailing Address - Phone:678-430-3110
Mailing Address - Fax:678-928-5955
Practice Address - Street 1:1287 SIMS ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3851
Practice Address - Country:US
Practice Address - Phone:678-430-3110
Practice Address - Fax:678-928-5955
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA075385207RC0000X, 207R00000X
WI1539207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA075385OtherLICENSE