MEDICARE: HANS SANGHOON MAH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	200101086	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	800690	OTHER	NC	PARTNERS MEDIC ARE CHOICE
2	1312H	OTHER	NC	BCBS
3	562034548	OTHER	NC	GROUP TAX ID
4	1200934	OTHER	NC	UNITED HEALTHCARE
5	249727	OTHER	NC	MAMSI
6	B6721	OTHER	NC	MEDCOST
7	2803066	OTHER	NC	AETNA
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457327504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANS SANGHOON MAH MD

Provider Business Mailing Address
First Line	:	PO BOX 60447
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-0447
Country	:	US
Telephone Number	:	704-384-7840
Fax Number	:

Provider Business Practice Location Address
First Line	:	8110 HEALTHCARE LOOP
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215
Country	:	US
Telephone Number	:	704-316-2312
Fax Number	:	704-316-2316

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	06/12/2023

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