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NPI Code Detail

MEDICARE: DR. SHAOJIE HAN M.D.

MEDICARE: DR. SHAOJIE HAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician60 279862NY
22084P0800XPsychiatry PhysicianQ8071TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073811832
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAOJIE HAN M.D.
Provider Business Mailing Address
First Line : 4888 LOOP CENTRAL DR
Second Line : STE 510
City : HOUSTON
State : TX
Zip : 77081-2226
Country : US
Telephone Number : 917-573-2283
Fax Number :
Provider Business Practice Location Address
First Line : 4888 LOOP CENTRAL DR
Second Line : STE 510
City : HOUSTON
State : TX
Zip : 77081-2226
Country : US
Telephone Number : 713-346-1551
Fax Number : 713-346-1557
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2011
Last Update Date : 10/11/2021

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Directions to “ DR. SHAOJIE HAN M.D.” Practice Location

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