Healthcare Provider Details
I. General information
NPI: 1538962477
Provider Name (Legal Business Name): TAYLOR HAHN, MD, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/28/2025
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17300 WESTFIELD BLVD STE 330
WESTFIELD IN
46074-1363
US
IV. Provider business mailing address
17300 WESTFIELD BLVD STE 330
WESTFIELD IN
46074-1363
US
V. Phone/Fax
- Phone: 317-707-9446
- Fax:
- Phone: 317-707-9446
- Fax: 317-558-7896
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TAYLOR
HAHN
Title or Position: FOUNDER/OWNER
Credential: MD
Phone: 618-322-7981