Provider Demographics
NPI:1760577985
Name:HAN, JOSEPH KHRISTIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:KHRISTIAN
Last Name:HAN
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:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-388-6200
Mailing Address - Fax:757-388-6201
Practice Address - Street 1:600 GRESHAM DR
Practice Address - Street 2:SUITE 1100
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1904
Practice Address - Country:US
Practice Address - Phone:757-388-6200
Practice Address - Fax:757-388-6201
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101234835207Y00000X, 207YP0228X, 207YS0123X, 207YX0007X, 207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
No207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
No207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
No207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAPAROtherUSA MANAGED CARE
NC05882OtherBC/BS
VAPAROtherMULTIPLAN
VAPAROtherFIRST HEALTH COMMERCIAL
VAPAROtherCORVEL/CORCARE
VA247055OtherANTHEM
VA2159196OtherUHC/MAMSI
VAPAROtherCIGNA
VA010374600Medicaid
VA10013400OtherSENTARA OPTIMA
NC5905882Medicaid
VAPAROtherVA PREMIER HEALTH
VAPAROtherVA HEALTH NETWORK
VA-004OtherTRICARE/CHAMPUS
VAPAROtherAETNA
VA2159196OtherUHC/MAMSI
VAP00440060Medicare PIN
VAPAROtherVA PREMIER HEALTH