Provider Demographics
NPI:1710120654
Name:MILLER-HAN, KAREN M (RDMS)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:M
Last Name:MILLER-HAN
Suffix:
Gender:F
Credentials:RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 867
Mailing Address - Street 2:
Mailing Address - City:ANGWIN
Mailing Address - State:CA
Mailing Address - Zip Code:94508-0867
Mailing Address - Country:US
Mailing Address - Phone:707-965-3836
Mailing Address - Fax:
Practice Address - Street 1:752 LINDA FALLS TERRACE
Practice Address - Street 2:
Practice Address - City:ANGWIN
Practice Address - State:CA
Practice Address - Zip Code:94508-0867
Practice Address - Country:US
Practice Address - Phone:707-965-3836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-08
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1050302471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography