MEDICARE: MR. HOKE TJIWAN 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	2085R0001X	Radiation Oncology Physician	ME 69802	FL
2	2085R0001X	Radiation Oncology Physician	036136731	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	P01584474	OTHER	FL	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
2	7435167	OTHER	FL	AETNA
3	4785892	OTHER	FL	CIGNA
4	P1015355	OTHER	FL	FREEDOM
5	46455	OTHER	FL	BCBS
6	9687	OTHER	FL	DIMENSION
8	P954198	OTHER	FL	OPTIMUM
9	213743	OTHER	FL	WELLCARE
10	257961	OTHER	FL	AVMED
11	QMP000004938350	OTHER	FL	MOLINA

General Provider Information

NPI Number	:	1730176694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HOKE TJIWAN HAN MD

Provider Business Mailing Address
First Line	:	6030 HOLLYWOOD BLVD
Second Line	:	SUITE: 100
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-7964
Country	:	US
Telephone Number	:	954-322-7200
Fax Number	:	954-322-7203

Provider Business Practice Location Address
First Line	:	6030 HOLLYWOOD BLVD
Second Line	:	STE 100
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-7964
Country	:	US
Telephone Number	:	954-322-7200
Fax Number	:	954-322-7203

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

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	06/23/2025

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