Individual
DR. KEN-RYU HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2902 W AGUA FRIA FWY STE 1000, PHOENIX, AZ 85027-3969
(623) 582-6420
(623) 582-6720
Mailing address
10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 21117-4366
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
32281
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2Z1006
HEALTHNET
AZ
05
—
887218
—
AZ
01
—
AZ0758160
BLUE SHIELD
AZ
Enumeration date
07/23/2006
Last updated
03/21/2025
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