Provider Demographics
NPI:1932510237
Name:COLETTI, HANNAH YIN (MD)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:YIN
Last Name:COLETTI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:HANG
Other - Last Name:YIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:260 MACNIDER BUILDLING CLB # 7220
Mailing Address - Street 2:UNC SCHOOL OF MEDICINE
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7220
Mailing Address - Country:US
Mailing Address - Phone:919-966-1505
Mailing Address - Fax:919-966-7299
Practice Address - Street 1:118 KNOX WAY
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517
Practice Address - Country:US
Practice Address - Phone:984-215-5900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-08
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFILE ID 200914208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1932510237Medicaid