Individual
YORAM HAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12255 DE PAUL DR, STE 320, BRIDGETON, MO 63044-2510
(314) 344-8100
(314) 344-8102
Mailing address
3466 MCKELVEY RD, BRIDGETON, MO 63044-2533
(314) 569-2959
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R9961
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160031462
RR MEDICARE
MO
05
—
201096229
—
MO
Enumeration date
09/12/2005
Last updated
10/02/2018
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