Individual
DR. LINDA K HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7945 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1762
(901) 683-0055
Mailing address
7714 POPLAR AVE STE 200, GERMANTOWN, TN 38138-3941
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
71834
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000306648
ANTHEM PIN
OH
01
—
000000737769
ANTHEM PIN
IN
05
—
0920954
—
OH
05
—
100242516
—
WI
01
—
1055774
UNITED HEALTHCARE
OH
05
—
201031830
—
IN
01
—
4317287
AETNA PROVIDER NUMBER
OH
Enumeration date
07/20/2005
Last updated
09/10/2024
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