Individual
SEYOUNG HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14589 GEORGE CARTER WAY, CHANTILLY, VA 20151-1881
(571) 344-3158
Mailing address
14589 GEORGE CARTER WAY, CHANTILLY, VA 20151-1881
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
0110011565
VA
363A00000X
Physician Assistant
Primary
0110011565
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
04/03/2026
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