Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. John Jacob Hannibal IV, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003133729

Dr. John Jacob Hannibal IV, MD is a Student in an Organized Health Care Education/Training Program in Buffalo, New York. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

462 Grider St
Buffalo, NY 14215-3021
Phone: (716) 898-4226
Fax: (716) 898-3279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1003133729
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 21, 2010
Last updated in NPPESApril 21, 2010

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