Mahdi, Hanibal

Mahdi, Hanibal is an individual health care provider with primary practice located at 305 Maple Ave W Ste A , Vienna VA 22180-4306. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mahdi, Hanibal can be contacted via phone (571) 407-7004.

Contact Information

Primary practice address
305 Maple Ave W Ste A Vienna VA 22180-4306
Phone: (571) 407-7004
Fax: (571) 407-7092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101056882 Virginia
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 0101056882 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101056882 Virginia

Profile Details

NPI number 1891753406
LBN Legal business name Mahdi, Hanibal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Nov 14th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891753406 NPPES
West Virginia MEDICAID 1891753406
West Virginia Other P00023208
West Virginia MEDICAID 1891753406
West Virginia MEDICAID 010031834
West Virginia Other 267139
West Virginia MEDICAID 5886325

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