CHUNG WAN HAN NPI 1104906882

NPI Information

NPI: 1104906882
Provider Name: CHUNG WAN HAN
Classification: Clinic/Center - 261QP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
7201 BYRNELEY LN
ANNANDALE, VA
ZIP 22003
Phone: (703) 354-9222
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Chung Wan Han is a primary care clinic center in Annandale, VA. Chung Wan Han NPI is 1104906882. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7201 BYRNELEY LN
ANNANDALE, VA
ZIP 22003-015
Phone: (703) 354-9222

The enumeration date for this NPI number is 10/16/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	0101052584	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2215418	OTHER	VIRGINIA	HMO
2	D-2102	MEDICARE UPIN	VIRGINIA
3	05812470	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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