Individual
CHUNG WAN HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7201 BYRNELEY LN, ANNANDALE, VA 22003-6015
(703) 354-9222
Mailing address
5105 BACKLICK ROAD, SUITE C, ANNANDALE, VA 22003
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0101052584
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05812470
—
VA
01
—
2215418
HMO
VA
Enumeration date
10/16/2006
Last updated
07/08/2007
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