Healthcare Provider Details

I. General information

NPI: 1407270929
Provider Name (Legal Business Name): HANNAH CHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2014
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 DEWITT LOOP
FORT BELVOIR VA
22060-5285
US

IV. Provider business mailing address

9300 DEWITT LOOP
FORT BELVOIR VA
22060-5285
US

V. Phone/Fax

Practice location:
  • Phone: 517-231-3224
  • Fax: 571-231-3224
Mailing address:
  • Phone: 571-231-3224
  • Fax: 571-231-3224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberD0092533
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: