Healthcare Provider Details

I. General information

NPI: 1528263035
Provider Name (Legal Business Name): HANH H CHOU OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 S ALTON WAY SUITE B-110
CENTENNIAL CO
80112-2201
US

IV. Provider business mailing address

6620 W 93RD ST APT D
OVERLAND PARK KS
66212-1309
US

V. Phone/Fax

Practice location:
  • Phone: 720-489-0790
  • Fax: 720-489-0848
Mailing address:
  • Phone: 913-642-2104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number17-02126
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: