Individual
JAEHONG HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 ARCH ST STE 1B, AKRON, OH 44304-1436
(330) 375-3315
(330) 375-7779
Mailing address
2295 S VINEYARD AVE, ONTARIO, CA 91761-7925
(919) 684-0415
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
247860
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57.026594
STATE BOARD MD TRAINING CERTIFICATE CREDENTIAL
OH
Enumeration date
04/07/2015
Last updated
12/08/2021
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