Individual provider · NPI-1
Dr. Hana Ajouz, Medical Doctor
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Providence, RI
NPI number1639690951
StatusActive
Last updated in NPPESApr 22, 2024
Details
- NPI
- 1639690951
- Entity type
- Individual (NPI-1)
- Name
- Dr. Hana Ajouz
- Credential
- Medical Doctor
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2017
- Certification date
- Apr 22, 2024
- Last updated
- Apr 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | MD19720 | RI | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2 Dudley St Ste 470Providence, RI 02905-3248
Phone 401-228-0621 · Fax 401-868-2322
Mailing address
Po Box 16149Rumford, RI 02916-0697
Phone 401-453-9625 · Fax 401-435-7069
Other practice locations
1650 Grand Concourse
Bronx, NY 10457-7606
Bronx, NY 10457-7606
Phone 718-960-1216
550 1st Ave
New York, NY 10016
New York, NY 10016
Phone 171-829-8835
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