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NPI Code Detail

MEDICARE: DR. HYO SOOK HAN MD

MEDICARE: DR. HYO SOOK 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
1207RX0202XMedical Oncology PhysicianME101448FL
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1306055348
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HYO SOOK HAN MD
Provider Business Mailing Address
First Line : PO BOX 198441
Second Line :
City : ATLANTA
State : GA
Zip : 30384-8441
Country : US
Telephone Number : 813-745-4673
Fax Number : 813-745-7287
Provider Business Practice Location Address
First Line : 12902 USF MAGNOLIA DR
Second Line :
City : TAMPA
State : FL
Zip : 33612-9416
Country : US
Telephone Number : 813-745-4673
Fax Number : 813-745-7287
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 06/15/2026

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