Provider Demographics
NPI:1871588160
Name:HANNA, RAMY SALAH (MD)
Entity type:Individual
Prefix:
First Name:RAMY
Middle Name:SALAH
Last Name:HANNA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1855 JESS PARRISH CT
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32796-2123
Mailing Address - Country:US
Mailing Address - Phone:321-268-0291
Mailing Address - Fax:321-268-0201
Practice Address - Street 1:1855 JESS PARRISH CT
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32796-2123
Practice Address - Country:US
Practice Address - Phone:321-268-0291
Practice Address - Fax:321-268-0201
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME77991207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL256528500Medicaid
G95927Medicare UPIN