Provider Demographics
NPI:1952396251
Name:HAHN, ERAN MARION II (MD)
Entity Type:Individual
Prefix:
First Name:ERAN
Middle Name:MARION
Last Name:HAHN
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:660 MASON RIDGE CENTER DR STE 300
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8512
Mailing Address - Country:US
Mailing Address - Phone:314-448-3791
Mailing Address - Fax:636-996-7658
Practice Address - Street 1:3466 MCKELVEY RD
Practice Address - Street 2:
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-2533
Practice Address - Country:US
Practice Address - Phone:314-344-8100
Practice Address - Fax:314-344-8102
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2024-03-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2003023593207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO208731828Medicaid
MO208731828Medicaid