Provider Demographics
NPI:1508005505
Name:HAUW HAN M.D. LLC
Entity Type:Organization
Organization Name:HAUW HAN M.D. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D
Authorized Official - Prefix:DR
Authorized Official - First Name:HAUW
Authorized Official - Middle Name:T
Authorized Official - Last Name:HAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-755-8115
Mailing Address - Street 1:6770 CINCINNATI DAYTON RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LIBERTY TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:45044-9318
Mailing Address - Country:US
Mailing Address - Phone:513-755-8115
Mailing Address - Fax:513-755-4760
Practice Address - Street 1:7593 TYLERS PLACE BLVD STE 104
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-6313
Practice Address - Country:US
Practice Address - Phone:513-755-8115
Practice Address - Fax:513-755-4760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-13
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty
No2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and NeckGroup - Multi-Specialty
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the HandGroup - Multi-Specialty
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0910152OtherMEDICAID
OH000000019961OtherANTHEM BLUE CROSS AND BLUE SHEILD
OH000617912OtherTRIGON
OH1320090OtherUNITED HEALTH CARE
OH496627182006OtherMEDICAL MUTUAL
OHHA0719703Medicare UPIN