Individual
RICHARD O. HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 MACCORKLE AVE SE STE 101, CHARLESTON, WV 25304-1215
(304) 388-8200
(304) 388-7100
Mailing address
3100 MACCORKLE AVE SE STE 101, CHARLESTON, WV 25304-1215
(304) 388-8200
(304) 388-7100
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
ME80649
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259096400
—
FL
01
—
35569
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/13/2006
Last updated
06/10/2022
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