Provider Demographics
NPI:1477819324
Name:SOE-LIN, HAHN (MD)
Entity Type:Individual
Prefix:DR
First Name:HAHN
Middle Name:
Last Name:SOE-LIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 N CENTRAL AVE STE 1001
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2716
Mailing Address - Country:US
Mailing Address - Phone:602-406-4786
Mailing Address - Fax:
Practice Address - Street 1:350 W THOMAS RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-4496
Practice Address - Country:US
Practice Address - Phone:602-406-4561
Practice Address - Fax:602-406-4113
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-04
Last Update Date:2019-07-12
Deactivation Date:2018-09-11
Deactivation Code:
Reactivation Date:2018-11-14
Provider Licenses
StateLicense IDTaxonomies
FL133727208600000X
AZ577862086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery