Organization
SANG K. HAN, M.D., F.A.C.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANG K. HAN M.D. (PRESIDENT)
(410) 766-3331
Entity
Organization
Contact information
Practice address
1600 CRAIN HWY S, SUITE # 406, GLEN BURNIE, MD 21061-5577
(410) 766-3331
Mailing address
PO BOX 219, PASADENA, MD 21123-0219
(410) 766-3331
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D17694
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
548851600
—
MD
01
—
CF8660
RAILROAD MEDICARE GROUP #
MD
01
—
E388
BLUECHOICE #
MD
01
—
K967SA
CAREFIRST MARYLAND #
MD
Enumeration date
09/26/2006
Last updated
05/05/2008
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