Healthcare Provider Details

I. General information

NPI: 1508005505
Provider Name (Legal Business Name): HAUW HAN M.D. LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2009
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7760 DISCOVERY DR STE H
WEST CHESTER OH
45069-3317
US

IV. Provider business mailing address

7760 W VOICE OF AMERICA PARK DR STE H
WEST CHESTER OH
45069-3371
US

V. Phone/Fax

Practice location:
  • Phone: 513-755-8115
  • Fax: 513-755-4760
Mailing address:
  • Phone: 513-755-8115
  • Fax: 513-755-4760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2082S0099X
TaxonomyPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HAUW T. HAN
Title or Position: M.D
Credential: MD
Phone: 513-755-8115