Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 0101234835 | VA |
N | 207YP0228X | Pediatric Otolaryngology | 0101234835 | VA |
N | 207YS0123X | Facial Plastic Surgeon | 0101234835 | VA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 0101234835 | VA |
NPI | 1760577985 |
---|---|
Provider Name | Dr. Joseph Khristian Han |
First Address | Norfolk, VA 23501-0936 |
Second Address | Norfolk, VA 23507-1904 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 31/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
-004 | TRICARE/CHAMPUS (01) | VA |
010374600 | (05) | VA |
05882 | BC/BS (01) | NC |
10013400 | SENTARA OPTIMA (01) | VA |
2159196 | UHC/MAMSI (01) | VA |
247055 | ANTHEM (01) | VA |
5905882 | (05) | NC |
H64481 | (02) | VA |
PAR | AETNA (01) | VA |
PAR | CIGNA (01) | VA |
PAR | CORVEL/CORCARE (01) | VA |
PAR | FIRST HEALTH COMMERCIAL (01) | VA |
PAR | MULTIPLAN (01) | VA |
PAR | USA MANAGED CARE (01) | VA |
PAR | VA HEALTH NETWORK (01) | VA |
PAR | VA PREMIER HEALTH (01) | VA |