Provider Demographics
NPI:1538109558
Name:HAHN, SIHOUN (MD, PHD)
Entity Type:Individual
Prefix:
First Name:SIHOUN
Middle Name:
Last Name:HAHN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 SAND POINT WAY NE
Mailing Address - Street 2:M/S B-6594
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3901
Mailing Address - Country:US
Mailing Address - Phone:206-987-3012
Mailing Address - Fax:206-987-5329
Practice Address - Street 1:4800 SAND POINT WAY NE
Practice Address - Street 2:M/S B-6594
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3901
Practice Address - Country:US
Practice Address - Phone:206-987-3012
Practice Address - Fax:206-987-5329
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00047081207SG0202X, 207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0202XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Biochemical Genetics
No207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8462368Medicaid
I00828Medicare UPIN
WA8462368Medicaid