Provider Demographics
NPI:1538259502
Name:RIZKALLA HANNA, MAGUED YOUSSEF (MD)
Entity type:Individual
Prefix:DR
First Name:MAGUED
Middle Name:YOUSSEF
Last Name:RIZKALLA HANNA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:29 RANDOM RD
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NH
Mailing Address - Zip Code:03870-2314
Mailing Address - Country:US
Mailing Address - Phone:603-436-5533
Mailing Address - Fax:603-964-9321
Practice Address - Street 1:875 GREENLAND RD STE 4
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4164
Practice Address - Country:US
Practice Address - Phone:603-436-5533
Practice Address - Fax:603-436-2332
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH10104207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30010927Medicaid
NH39661OtherCIGNA
NH694648OtherHARVARD HEALTH CARE
NH0107272YPNH01OtherANTHEM BC/BS
ME034983OtherANTHEM
NH30010927Medicaid
NH0107272YPNH01OtherANTHEM BC/BS
NHG58574Medicare UPIN