Provider Demographics
NPI:1821210667
Name:HANNA, SALWA HANNA (MD)
Entity Type:Individual
Prefix:DR
First Name:SALWA
Middle Name:HANNA
Last Name:HANNA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4485 WADSWORTH BLVD
Mailing Address - Street 2:SUITE #204
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033
Mailing Address - Country:US
Mailing Address - Phone:303-759-2220
Mailing Address - Fax:303-431-1333
Practice Address - Street 1:4485 WADSWORTH BLVD
Practice Address - Street 2:SUITE #204
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033
Practice Address - Country:US
Practice Address - Phone:303-759-2220
Practice Address - Fax:303-431-1333
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO23307208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
D24254Medicare UPIN