Provider Demographics
NPI:1356319826
Name:HAN, THIN THIN (MD)
Entity Type:Individual
Prefix:
First Name:THIN
Middle Name:THIN
Last Name:HAN
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 1:3501 STOCKDALE HWY
Mailing Address - Street 2:CCOM MEDICAL GROUP
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-2150
Mailing Address - Country:US
Mailing Address - Phone:661-328-9831
Mailing Address - Fax:661-398-3702
Practice Address - Street 1:3501 STOCKDALE HWY
Practice Address - Street 2:CCOM MEDICAL GROUP
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-2150
Practice Address - Country:US
Practice Address - Phone:661-328-9831
Practice Address - Fax:661-398-3702
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK22578207R00000X
CAA93507207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100845240AMedicaid