Provider Demographics
NPI:1689876583
Name:ALSAHLANI, HANNAN J (DO)
Entity Type:Individual
Prefix:DR
First Name:HANNAN
Middle Name:J
Last Name:ALSAHLANI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31500 TELEGRAPH RD
Mailing Address - Street 2:STE 105
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-4367
Mailing Address - Country:US
Mailing Address - Phone:248-540-8700
Mailing Address - Fax:248-540-8701
Practice Address - Street 1:31500 TELEGRAPH RD
Practice Address - Street 2:STE 105
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025-4367
Practice Address - Country:US
Practice Address - Phone:248-540-8700
Practice Address - Fax:248-540-8701
Is Sole Proprietor?:No
Enumeration Date:2007-06-03
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI510106159208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics