Provider Demographics
NPI:1154096832
Name:HANNOODEE, HANAN (MD)
Entity type:Individual
Prefix:
First Name:HANAN
Middle Name:
Last Name:HANNOODEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18648 MCKAY DR STE 220
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-5724
Mailing Address - Country:US
Mailing Address - Phone:281-548-1210
Mailing Address - Fax:281-548-3786
Practice Address - Street 1:18648 MCKAY DR STE 220
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-5724
Practice Address - Country:US
Practice Address - Phone:281-548-1210
Practice Address - Fax:281-548-3786
Is Sole Proprietor?:No
Enumeration Date:2021-08-13
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXV5272207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program