MEDICARE: JOHN L HAHN 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	207V00000X	Obstetrics & Gynecology Physician	13988	WV

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

General Provider Information

NPI Number	:	1831190446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN L HAHN MD

Provider Business Mailing Address
First Line	:	PO BOX 1019
Second Line	:	C/O GRANT MEMORIAL HOSPITAL
City	:	PETERSBURG
State	:	WV
Zip	:	26847-1019
Country	:	US
Telephone Number	:	304-257-1026
Fax Number	:	304-257-1932

Provider Business Practice Location Address
First Line	:	65 HOSPITAL DR
Second Line	:	SUITE 104
City	:	PETERSBURG
State	:	WV
Zip	:	26847-9549
Country	:	US
Telephone Number	:	304-257-2152
Fax Number	:	304-257-2928

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

Provider Enumeration Date	:	08/04/2005
Last Update Date	:	11/11/2022

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Directions to “ JOHN L HAHN MD” Practice Location

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