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Organization
SHENGGAO HAN, M.D., LLC
Active
Organization
SHENGGAO HAN, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHENGGAO HAN (MD)
(724) 463-3720
Entity
Organization
Contact information
Practice address
625 RUSTIC LODGE RD STE B, INDIANA, PA 15701-3403
(724) 463-3720
Mailing address
625 RUSTIC LODGE RD STE B, INDIANA, PA 15701-3403
(724) 463-3720
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010368600001
—
PA
01
—
1532898
HIGHMARK
PA
Enumeration date
05/31/2006
Last updated
03/05/2024
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