Individual
SHANNON HAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
ME132199
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020868600
—
FL
01
—
IZ016Z
MEDICARE
FL
Enumeration date
05/28/2013
Last updated
06/22/2023
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