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Individual

DR. MICHAEL J HAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
315 E BROADWAY FL 4, LOUISVILLE, KY 40202
(502) 629-2500
(502) 629-2055
Mailing address
PO BOX 776347, CHICAGO, IL 60677-6351
(502) 272-5052
(502) 629-6217

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
33316
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000000365374
ANTHEM PROVIDER NUMB
KY
01
000054971C
HUMANA PROVIDER NUMB
KY
01
7746255
AETNA PROVIDER NUMB
KY
01
P00326640
RAIL ROAD MEDICARE
KY
Enumeration date
04/27/2006
Last updated
01/19/2021
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