Healthcare Provider Details

I. General information

NPI: 1902426422
Provider Name (Legal Business Name): RACHEL HYEUN HAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2020
Last Update Date: 07/23/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

549TH HOSPITAL CENTER UNIT #15245 BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL
APO AP
96271-5245
US

IV. Provider business mailing address

8901 ROCKVILLE PIKE
BETHESDA MD
20889-0001
US

V. Phone/Fax

Practice location:
  • Phone: 315-737-2019
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number329772
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: