Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 07360 | GA |
Y | 207V00000X | Obstetrician & Gynecologist | 56075 | CT |
NPI | 1003258138 |
---|---|
Provider Name | Chanhee Han |
First Address | New Haven, CT 06511-6624 |
Second Address | New Haven, CT 06510-3206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2013 |
Last Update Date | 08/02/2020 |