Provider Demographics
NPI:1649488461
Name:HANNA-KASTOUN, AHED (MD)
Entity type:Individual
Prefix:
First Name:AHED
Middle Name:
Last Name:HANNA-KASTOUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2625 W ALAMEDA AVE STE 326
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4822
Mailing Address - Country:US
Mailing Address - Phone:818-566-9991
Mailing Address - Fax:818-566-9992
Practice Address - Street 1:2625 W ALAMEDA AVE STE 326
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4822
Practice Address - Country:US
Practice Address - Phone:818-566-9991
Practice Address - Fax:818-566-9992
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1024762084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology