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NPI Code Detail

MEDICARE: DR. CHRISTINA HA M.D.

MEDICARE:  DR. CHRISTINA  HA  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
1208000000XPediatrics Physician036128610IL
2208000000XPediatrics Physician01070441AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000749426OTHERINANTHEM TRADITIONAL
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639470685
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINA HA M.D.
Provider Business Mailing Address
First Line : 9470 BROADWAY
Second Line :
City : CROWN POINT
State : IN
Zip : 46307-5722
Country : US
Telephone Number : 219-661-3255
Fax Number : 219-662-3765
Provider Business Practice Location Address
First Line : 9470 BROADWAY
Second Line :
City : CROWN POINT
State : IN
Zip : 46307-5722
Country : US
Telephone Number : 219-661-3255
Fax Number : 219-662-3765
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2010
Last Update Date : 04/15/2013

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Directions to “ DR. CHRISTINA HA M.D.” Practice Location

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