Individual
CHRISTIAN TAE HO HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.T.
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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