DR. IBRAHIM ISSA HANNA (NPI# 1407898653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407898653 |
| Entity Type | Individual |
| Full Name | DR. IBRAHIM ISSA HANNA |
| Credential | M.D. |
| Practice Address |
640 W. Foothill Blvd. Suite 100 Glendora CA 91741-2403 |
| Practice Telephone | 6263354041 |
| Practice Fax Number | 6263353768 |
| Mailing Telephone | 6263354041 |
| Mailing Fax Number | 6263353768 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2012-01-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A50259 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE RR | 110238745 | 01 |
| CA | 00A502591 | 05 | |
| CA | MEDICARE RR | P00936005 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174569859 | Ibrahim Robert Hanna | Internal Medicine | 833 Princeton Ave Sw, Pob IIi, Suite 200a, Birmingham, AL 35211-1323 | 2006-06-21 |
| 1942278791 | Ibrahim Hanna | Surgery | 3333 N. Calvert Street, Suite 655b, Baltimore, MD 21218-6505 | 2006-03-09 |
| Street Address |
640 W. FOOTHILL BLVD. SUITE 100 |
| City | GLENDORA |
| State | CA |
| Zip Code | 91741-2403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922316751 | Ibrahim Hanna, M.d., Inc. | Internal Medicine | 640 W. Foothill Blvd., Suite 100, Glendora, CA 91741-2403 | 2010-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083244016 | Monica Keo | Psychiatry & Neurology | 501 South Grand Avenue, #200, Glendora, CA 91741 | 2020-01-17 |
| 1871144816 | Djpnicolas, LLC | Clinic/Center | 144 N. Grand Avenue, Glendora, CA 91741 | 2019-09-20 |
| 1518517192 | Ashlyn Kate Cherry | Social Worker | 916 W. Danton Drive, Glendora, CA 91741 | 2019-09-16 |
| 1497284889 | Maged Guirguis | Private Vehicle | 1262 E Ada Ave, Glendora, CA 91741 | 2017-06-08 |
| 1952793200 | Dignity Transportation Service Inc | Private Vehicle | 255 S Glendora Ave #1613, Glendora, CA 91741 | 2015-02-24 |
| 1437568029 | Arakelyan Aznavour Dental Corporation | Dentist | 175 N Pennsylvania Ave #3, Glendora, CA 91741 | 2014-08-07 |
| 1528481223 | Lucinda Lorraine Schoenick | Nurse Practitioner | 250 S. Grand Ave, Glendora, CA 91741 | 2014-01-31 |
| 1073837548 | Advanced Dental Smiles | Dentist | 455 W. Foothill Blvd, Glendora, CA 91741 | 2010-03-26 |
| 1346404621 | Amee Brown | Occupational Therapist | 401 W. Ada Ave., Glendora, CA 91741 | 2008-07-15 |
| 1356539183 | Orthopaedic Medical Group | Specialist | 412 W Carroll St, Ste 107, Glendora, CA 91741 | 2007-10-05 |
| Find all providers in zip 91741 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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 diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609240126 | Oliver M. Solomon, Do, Inc | Internal Medicine | 130 W Route 66 Ste 326, Glendora, CA 91740-6252 | 2015-11-20 |
| 1073999181 | Krunal J Mehta Md Inc | Internal Medicine | 130 W Route 66 Ste 214, Glendora, CA 91740-6251 | 2015-07-31 |
| 1134398332 | Body 101 | Internal Medicine | 1822a E Route 66 # 279, Glendora, CA 91740-3868 | 2008-02-21 |
| 1578746582 | Zhi-wen Lu | Internal Medicine | 412 W Carroll Ave Ste 104, Glendora, CA 91741-4704 | 2007-12-12 |
| 1912099441 | Raymundo Sevilla Bautista | Internal Medicine | 118 W Foothill Blvd, Glendora, CA 91741 | 2006-09-29 |
| 1285741223 | Robert Morgan | Internal Medicine | 260 Cimmeron Trl, Glendora, CA 91741-3815 | 2006-08-24 |
| 1568992493 | Coast To Coast Medical Inc | Internal Medicine | 620 S Glendora Ave Ste B, Glendora, CA 91740-6815 | 2017-06-13 |
| 1992237325 | Michelle Lautfy Zaki | Internal Medicine | 2025 E Route 66, Glendora, CA 91740-4670 | 2017-04-03 |
| 1922316751 | Ibrahim Hanna, M.d., Inc. | Internal Medicine | 640 W. Foothill Blvd., Suite 100, Glendora, CA 91741-2403 | 2010-09-14 |
| 1609189893 | Ron Gutmark | Internal Medicine | 210 S Grand Ave, #106, Glendora, CA 91741-4205 | 2010-07-16 |
| Find all providers in GLENDORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.