Provider Demographics
NPI:1477607737
Name:HA, STEVEN NGOC (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:NGOC
Last Name:HA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3496 CLUB DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30044-3021
Mailing Address - Country:US
Mailing Address - Phone:770-248-9345
Mailing Address - Fax:770-797-9615
Practice Address - Street 1:3496 CLUB DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044-3021
Practice Address - Country:US
Practice Address - Phone:770-248-9345
Practice Address - Fax:770-797-9615
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2023-11-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA049899207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA894388589AMedicaid
GA488115200AMedicaid
GA837002OtherBCBS
GA7134351OtherAETNA