MR. PETER SAMIR HANNA PA-C NPI 1003362351

NPI Information

NPI: 1003362351
Provider Name: MR. PETER SAMIR HANNA, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: HARTFORD HEALTHCARE URGENT CARE CENTERS LLC

PECOS Registration: Yes

Address:
64 ROBBINS ST
WATERBURY, CT
ZIP 06708
Phone: (704) 340-5079
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MR. Peter Samir Hanna, PA-C is a medical physician assistant in Waterbury, CT with 8 years of experience. MR. Peter Samir Hanna, PA-C NPI is 1003362351. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

64 ROBBINS ST
WATERBURY, CT
ZIP 06708
Phone: (704) 340-5079

The NPI 1003362351 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/28/2016 and was last updated on 7/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207P00000X	Emergency Medicine		3800	CONNECTICUT	No
2	363A00000X	Physician Assistant		1990	WEST VIRGINIA	No
3	363AM0700X	Physician Assistant	Medical	3800	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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