Provider Demographics
NPI:1639896475
Name:HANA ROHAN, CARDIOLOGY, P.C.
Entity Type:Organization
Organization Name:HANA ROHAN, CARDIOLOGY, P.C.
Other - Org Name:HANA SMITH, MEDICINE, P.C.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:315-671-2500
Mailing Address - Street 1:170 INTREPID LN
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13205-2545
Mailing Address - Country:US
Mailing Address - Phone:315-671-2500
Mailing Address - Fax:315-671-5050
Practice Address - Street 1:170 INTREPID LN
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13205-2545
Practice Address - Country:US
Practice Address - Phone:315-671-2500
Practice Address - Fax:315-671-5050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-24
Last Update Date:2023-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty