Provider Demographics
NPI:1316243116
Name:KHANI-HANJANI, ABBAS (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:ABBAS
Middle Name:
Last Name:KHANI-HANJANI
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7104 95TH AVE. NW
Mailing Address - Street 2:
Mailing Address - City:EDMONTON
Mailing Address - State:ALBERTA
Mailing Address - Zip Code:T6B 1B2
Mailing Address - Country:CA
Mailing Address - Phone:216-673-5082
Mailing Address - Fax:
Practice Address - Street 1:CLEVELAND CLINIC FOUNDATION
Practice Address - Street 2:9500 EUCLID AVE.
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0002
Practice Address - Country:US
Practice Address - Phone:216-445-6816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-27
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program