Provider Demographics
NPI:1417917741
Name:HANNA, NANCY DAFASHY (MD)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:DAFASHY
Last Name:HANNA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:ADIB HANNA
Other - Last Name:BISHAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5656 S CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-3894
Mailing Address - Country:US
Mailing Address - Phone:517-267-3925
Mailing Address - Fax:281-332-5283
Practice Address - Street 1:5656 S CEDAR ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-3894
Practice Address - Country:US
Practice Address - Phone:517-267-3925
Practice Address - Fax:281-332-5283
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM07452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX187663301Medicaid
TX8J1425OtherBCBS
TX187663301Medicaid
8G3260Medicare PIN