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Individual

RICHARD HAHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1400 N RITTER AVE STE 520, INDIANAPOLIS, IN 46219-3052
(317) 355-7220
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01036130A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000593795
ANTHEM
IN
05
100197200A
IN
01
P01214615
RR MEDICARE PTAN
IN
Enumeration date
07/19/2005
Last updated
04/04/2022
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