Phyllis Decarnelle Hannah in Ada - Internal Medicine
Phyllis Decarnelle Hannah - NPI 1740259407
Phyllis Decarnelle Hannah is a Internal Medicine in Ada, Oklahoma. Phyllis Decarnelle Hannah practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Phyllis Decarnelle Hannah is 1740259407. The last update date is 2022-07-21.
Phyllis Decarnelle Hannah's current location address is 1921 Stonecipher Dr, Ada, Oklahoma. You can contact this provider via phone number 5804363980. The mailing address for Phyllis Decarnelle Hannah is 1921 Stonecipher Dr, Ada, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis Decarnelle Hannah |
|---|---|
| Address | 1921 Stonecipher Dr, Ada, Oklahoma |
| Phone Number | 5804363980 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1740259407 |
|---|---|
| Provider Enumeration Date | 2006-03-15 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1921 Stonecipher Dr |
|---|---|
| City | Ada |
| State | Oklahoma (OK) |
| Post Code | 748203439 |
| Phone Number | 5804363980 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | MO - 10627 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique 10-digit identification code assigned to Phyllis Decarnelle Hannah by the Centers for Medicare & Medicaid Services?
The Phyllis Decarnelle Hannah has been issued the NPI (National Provider Identifier) 1740259407, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Phyllis Decarnelle Hannah located?
The Phyllis Decarnelle Hannah is located at 1921 Stonecipher Dr, Ada, OK 748203439.
What is Phyllis Decarnelle Hannah's area of expertise and its corresponding taxonomy classification?
The Phyllis Decarnelle Hannah's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Phyllis Decarnelle Hannah receive the assignment of its 1740259407 from the Centers for Medicare & Medicaid Services?
The Phyllis Decarnelle Hannah was issued its 1740259407 by the Centers for Medicare & Medicaid Services on 2006-03-15.
When was the Phyllis Decarnelle Hannah's information last updated?
The Phyllis Decarnelle Hannah's information was last updated on 2022-07-21.