Provider Demographics
NPI:1871143909
Name:RASHA Y HANAFY, DO LLC
Entity type:Organization
Organization Name:RASHA Y HANAFY, DO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RASHA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:HANAFY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:207-489-7000
Mailing Address - Street 1:15 SKY VIEW DR
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND FORESIDE
Mailing Address - State:ME
Mailing Address - Zip Code:04110-1339
Mailing Address - Country:US
Mailing Address - Phone:207-489-7000
Mailing Address - Fax:207-781-0004
Practice Address - Street 1:15 SKY VIEW DR
Practice Address - Street 2:
Practice Address - City:CUMBERLAND FORESIDE
Practice Address - State:ME
Practice Address - Zip Code:04110-1339
Practice Address - Country:US
Practice Address - Phone:207-489-7000
Practice Address - Fax:207-781-0004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-20
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty