| Organization Name: | PEDIATRIC HEMATOLOGY CLINIC LTD |
| NPI Number: | 1003956343 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARWAN DAOUD HANNA (PRESIDENT) |
| Mailing Address: | 1000 E 21st St Suite 3100 Sioux Falls |
| State: | SD US |
| Postal Code: | 571051035 |
| Phone Number: | 6053227595 |
| Fax Number: | 6053227599 |
| NPI Enumeration Date: | 02/07/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080P0207X |
| License Number: | 1562 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Pediatric Hematology-Oncology |
| Taxonomy Definition: | A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |