Individual
CHRISTIAN TAE HO HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.T.
Contact information
Practice address
3836 INTERNATIONAL DR, SILVER SPRING, MD 20906-1548
(301) 598-7420
(301) 598-7432
Mailing address
8492 BALTIMORE NATIONAL PIKE, STE 207, ELLICOTT CITY, MD 21043-3378
(301) 776-0421
(301) 598-7432
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20173
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
338063
MAMSI LIFE MD IPA
MD
05
—
4039165
—
MD
01
—
683203200
AMERIGROUP
MD
01
—
LK24AT
CF BLUE CROSS BLUE SHIELD
MD
01
—
S9860005
CF BLUE CROSS BLUE SHIELD
DC
Enumeration date
01/22/2007
Last updated
07/12/2017
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