Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | MD00043687 | WA |
NPI | 1013033190 |
---|---|
Provider Name | Dr. Steven Han |
First Address | Seattle, WA 98104-1172 |
Second Address | Seattle, WA 98104-2133 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2007 |
Last Update Date | 31/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1184865198 | NPI (01) | WA |
121279 | (02) | WA |