Provider Demographics
NPI:1962425579
Name:HANKINS, MICHELLE ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:ANNE
Last Name:HANKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:150 S HUNTINGTON AVE
Mailing Address - Street 2:HO/111
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02130-4817
Mailing Address - Country:US
Mailing Address - Phone:857-364-5415
Mailing Address - Fax:617-738-1450
Practice Address - Street 1:150 S HUNTINGTON AVE
Practice Address - Street 2:HO/111
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130-4817
Practice Address - Country:US
Practice Address - Phone:857-364-5415
Practice Address - Fax:617-738-1450
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA79779207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAVAD000Medicare UPIN