Shennib, Hani
Shennib, Hani is an individual health care provider with primary practice located at 3850 E Baseline Rd Ste 103 , Mesa AZ 85206-4403. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Shennib, Hani can be contacted via phone (480) 722-7589.Contact Information
Primary practice address
3850 E Baseline Rd Ste 103
Mesa AZ 85206-4403
Phone: (480) 722-7589
Fax: (480) 857-8313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 372-18 | Arizona |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 4885 | Arizona |
Profile Details
| NPI number | 1992801005 |
|---|---|
| LBN Legal business name | Shennib, Hani |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Jan 14th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992801005 | NPPES |
| Arizona | MEDICAID | 151193 | |
| Arizona | Other | 860338466 | |
| Arizona | Other | P00356422 | |
| Arizona | Other | WCSKQ |
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