MEDICARE: YORAM HAHN 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	207V00000X	Obstetrics & Gynecology Physician	R9961	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	160031462	OTHER	MO	RR MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1275528697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YORAM HAHN MD

Provider Business Mailing Address
First Line	:	3466 MCKELVEY RD
Second Line	:
City	:	BRIDGETON
State	:	MO
Zip	:	63044-2533
Country	:	US
Telephone Number	:	314-569-2959
Fax Number	:

Provider Business Practice Location Address
First Line	:	12255 DE PAUL DR
Second Line	:	STE 320
City	:	BRIDGETON
State	:	MO
Zip	:	63044-2510
Country	:	US
Telephone Number	:	314-344-8100
Fax Number	:	314-344-8102

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

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	10/02/2018

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Directions to “ YORAM HAHN MD” Practice Location

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