Provider Demographics
NPI:1952477689
Name:DELBERT H. HAHN, MD, PC
Entity Type:Organization
Organization Name:DELBERT H. HAHN, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DELBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:HAHN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-956-6486
Mailing Address - Street 1:4134 TERNVIEW RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-2229
Mailing Address - Country:US
Mailing Address - Phone:205-956-6486
Mailing Address - Fax:205-951-2397
Practice Address - Street 1:4134 TERNVIEW RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-2229
Practice Address - Country:US
Practice Address - Phone:205-956-6486
Practice Address - Fax:205-951-2397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALJ712Medicare ID - Type Unspecified