Provider Demographics
NPI:1801851332
Name:HANAI, HISHAM (MD)
Entity type:Individual
Prefix:DR
First Name:HISHAM
Middle Name:
Last Name:HANAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6350 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33707-1430
Mailing Address - Country:US
Mailing Address - Phone:727-381-1144
Mailing Address - Fax:727-381-6901
Practice Address - Street 1:6350 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33707-1430
Practice Address - Country:US
Practice Address - Phone:727-381-1144
Practice Address - Fax:727-381-6901
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME74438207Q00000X, 207QA0505X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL42446OtherBLUE CROSS BLUE SHIELD HO
FL015566000Medicaid
FLE0192BMedicare ID - Type Unspecified
FL42446OtherBLUE CROSS BLUE SHIELD HO