National Provider Identifier
Hannan Imam, P.A.
Hannan Imam, P.A. is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Buffalo, NY and a listed phone number of (716) 887-4069.
Profile Overview
- NPI
- 1558521229
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- June 16, 2008
- Last Updated
- June 16, 2008
Practice Location
- 3 Gates Circle
- Diabetes And Endocrinology Center At Kaleida Health
- Buffalo, NY 14209-1120
Phone: (716) 887-4069
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1558521229
- Entity Type
- Individual
- Last Name
- Imam
- First Name
- Hannan
- Credential
- P.A.
- Mailing Street Address
- 3 Gates Circle
- Mailing Address Line 2
- Diabetes And Endocrinology Center At Kaleida Health
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14209-1120
- Mailing Country
- US
- Mailing Phone
- (716) 887-4069
- Mailing Fax
- (716) 887-5111
- Practice Street Address
- 3 Gates Circle
- Practice Address Line 2
- Diabetes And Endocrinology Center At Kaleida Health
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-1120
- Practice Country
- US
- Practice Phone
- (716) 887-4069
- Practice Fax
- (716) 887-5111
- Enumeration Date
- June 16, 2008
- Last Updated
- June 16, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)