Provider Demographics
NPI:1629070883
Name:DRS. HAHN AND PADGETT
Entity Type:Organization
Organization Name:DRS. HAHN AND PADGETT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVIS
Authorized Official - Middle Name:MILFORD
Authorized Official - Last Name:HAHN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-532-3991
Mailing Address - Street 1:5601 LOCH RAVEN BLVD
Mailing Address - Street 2:STE 103
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21239-2905
Mailing Address - Country:US
Mailing Address - Phone:410-532-3991
Mailing Address - Fax:410-532-3998
Practice Address - Street 1:5601 LOCH RAVEN BLVD
Practice Address - Street 2:STE 103
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239-2905
Practice Address - Country:US
Practice Address - Phone:410-532-3991
Practice Address - Fax:410-532-3998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-01
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0020396174400000X
MDD0015546174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDCF4874OtherRAILROAD MEDICARE
MD200461500Medicaid
MDLY92HAOtherCAREFIRST OF MARYLAND
DCT591OtherCAREFIRST NATIONAL CAPITAL AREA
DCT591OtherCAREFIRST NATIONAL CAPITAL AREA
MD200461500Medicaid
MDLY92HAOtherCAREFIRST OF MARYLAND