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1538169388

NPI Code Detail

MEDICARE: DR. STEPHANIE C. HAN MD

MEDICARE: DR. STEPHANIE C. HAN 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	2085R0001X	Radiation Oncology Physician	60-220089	NY
2	2085R0001X	Radiation Oncology Physician	M8700	TX
3	2085R0001X	Radiation Oncology Physician	220089	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P01011883	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538169388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHANIE C. HAN MD

Provider Business Mailing Address
First Line	:	PO BOX 911230
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75391-1230
Country	:	US
Telephone Number	:	972-997-8000
Fax Number	:	972-234-2987

Provider Business Practice Location Address
First Line	:	7848 GATEWAY BLVD E
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79915-1815
Country	:	US
Telephone Number	:	915-599-1313
Fax Number	:	915-599-1701

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

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	02/15/2013

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Directions to “ DR. STEPHANIE C. HAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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