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Individual

DR. CHRISTINA HA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9470 BROADWAY, CROWN POINT, IN 46307-5722
(219) 661-3255
(219) 662-3765
Mailing address
9470 BROADWAY, CROWN POINT, IN 46307-5722
(219) 661-3255
(219) 662-3765

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01070441A
IN
208000000X
Pediatrics Physician
036128610
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000749426
ANTHEM TRADITIONAL
IN
05
201044430
IN
Enumeration date
11/08/2010
Last updated
04/15/2013
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