Provider Demographics
NPI:1326362872
Name:HAHN, LILY ELSAIDI (MD)
Entity Type:Individual
Prefix:DR
First Name:LILY
Middle Name:ELSAIDI
Last Name:HAHN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LILY
Other - Middle Name:M
Other - Last Name:ELSAIDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 635283
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-5283
Mailing Address - Country:US
Mailing Address - Phone:859-781-6222
Mailing Address - Fax:859-572-2244
Practice Address - Street 1:1400 GRAND AVE
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:KY
Practice Address - Zip Code:41071-2570
Practice Address - Country:US
Practice Address - Phone:859-781-6222
Practice Address - Fax:859-572-2244
Is Sole Proprietor?:No
Enumeration Date:2010-03-25
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY47138207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201256310Medicaid
KY7100311130Medicaid
OH0108438Medicaid
IN201256310Medicaid