Provider Demographics
NPI:1518351808
Name:AL-HASNAWI, HADI LAFTA (MD)
Entity Type:Individual
Prefix:
First Name:HADI
Middle Name:LAFTA
Last Name:AL-HASNAWI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HADI
Other - Middle Name:LAFTA
Other - Last Name:JABBAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1321 W 22ND ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-1502
Mailing Address - Country:US
Mailing Address - Phone:605-404-4000
Mailing Address - Fax:775-327-5178
Practice Address - Street 1:1321 W 22ND ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105
Practice Address - Country:US
Practice Address - Phone:605-404-4000
Practice Address - Fax:605-312-9091
Is Sole Proprietor?:No
Enumeration Date:2015-03-24
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
SD11022207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program