Provider Demographics
NPI:1811971039
Name:HAHN, HARVEY SUNG-HA (MD)
Entity type:Individual
Prefix:
First Name:HARVEY
Middle Name:SUNG-HA
Last Name:HAHN
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 1:1380 E STROOP RD
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45429-4926
Mailing Address - Country:US
Mailing Address - Phone:937-293-3486
Mailing Address - Fax:937-293-3605
Practice Address - Street 1:1380 E STROOP RD
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-4926
Practice Address - Country:US
Practice Address - Phone:937-293-3486
Practice Address - Fax:379-522-8057
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35072335H207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2504741OtherUNITED HEALTHCARE
OH060061485OtherRR MEDICARE
OH000000376601OtherANTHEM
OH7880157OtherAETNA
OH3184621Medicaid
OH060061485OtherRR MEDICARE
OH7880157OtherAETNA