Provider Demographics
NPI:1316220023
Name:HAHN, ROZELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:ROZELLE
Middle Name:
Last Name:HAHN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 MAXIMILIAN LN
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105-3351
Mailing Address - Country:US
Mailing Address - Phone:318-865-8181
Mailing Address - Fax:318-865-5942
Practice Address - Street 1:158 MAXIMILIAN LN
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-3351
Practice Address - Country:US
Practice Address - Phone:318-865-8181
Practice Address - Fax:318-865-5942
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-20
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA01687207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine