Individual
XINQIANG HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 REID PKWY, SUITE 210, RICHMOND, IN 47374-1157
(765) 962-1337
(765) 966-0858
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 962-1337
(765) 966-0858
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
01061967
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
35.120318
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000687481
ANTHEM
—
05
—
200857780
—
IN
05
—
3117246
—
OH
Enumeration date
10/10/2006
Last updated
05/04/2016
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