MEDICARE: DR. SHEILA THERESE ANGELES-HAN MD

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
1	2080P0216X	Pediatric Rheumatology Physician	35.129964	OH
2	2080P0216X	Pediatric Rheumatology Physician	061031	GA

General Provider Information

NPI Number	:	1225227291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHEILA THERESE ANGELES-HAN MD

Provider Business Mailing Address
First Line	:	3333 BURNET AVE
Second Line	:	ML 4010
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3026
Country	:	US
Telephone Number	:	513-636-4676
Fax Number	:	513-636-5568

Provider Business Practice Location Address
First Line	:	3333 BURNET AVE
Second Line	:	ML 4010
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3026
Country	:	US
Telephone Number	:	513-636-4676
Fax Number	:	513-636-5568

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2007
Last Update Date	:	12/22/2016

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Directions to “ DR. SHEILA THERESE ANGELES-HAN MD” Practice Location

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