Individual
GANAN HAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4700 MEMORIAL DR STE 340, BELLEVILLE, IL 62226-5373
(618) 234-9884
(618) 235-9020
Mailing address
660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8512
(314) 448-3791
(314) 996-7658
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
08501028
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
MO
Other
Enumeration date
01/05/2023
Last updated
09/19/2025
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