Provider Demographics
NPI:1578680716
Name:HAN, MYO MIN (MD)
Entity Type:Individual
Prefix:DR
First Name:MYO
Middle Name:MIN
Last Name:HAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:280 W MACARTHUR BLVD
Mailing Address - Street 2:KAISER OAKLAND, DEPT. OF NUCLEAR MEDICINE
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-5642
Mailing Address - Country:US
Mailing Address - Phone:510-752-6212
Mailing Address - Fax:510-752-7031
Practice Address - Street 1:280 W MACARTHUR BLVD
Practice Address - Street 2:KAISER OAKLAND, DEPT. OF NUCLEAR MEDICINE
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-5642
Practice Address - Country:US
Practice Address - Phone:510-752-6212
Practice Address - Fax:510-752-7031
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-10-12
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Provider Licenses
StateLicense IDTaxonomies
CAA95841207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine