Healthcare Provider Details

I. General information

NPI: 1568738284
Provider Name (Legal Business Name): SARAH HAHN HSU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH JYOUNG HAHN M.D.

II. Dates (important events)

Enumeration Date: 03/27/2012
Last Update Date: 03/01/2023
Certification Date: 03/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 N CAROLINE ST # 8072
BALTIMORE MD
21287-0006
US

IV. Provider business mailing address

6201 GREENLEIGH AVE
MIDDLE RIVER MD
21220-2004
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-5933
  • Fax: 410-502-2309
Mailing address:
  • Phone: 410-933-6423
  • Fax: 410-500-4266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberD81290
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: