Healthcare Provider Details

I. General information

NPI: 1740713411
Provider Name (Legal Business Name): BING HAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2017
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7835 PARAGON RD
DAYTON OH
45459-4021
US

IV. Provider business mailing address

7835 PARAGON RD
DAYTON OH
45459-4021
US

V. Phone/Fax

Practice location:
  • Phone: 832-879-9198
  • Fax:
Mailing address:
  • Phone: 832-879-9198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License Number35C.003524
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: