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NPI Code Detail

MEDICARE: DR. SHELBY ROSS HAHN MD

MEDICARE: DR. SHELBY ROSS 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
1207Q00000XFamily Medicine Physician2007016067MO

General Provider Information

NPI Number : 1881875771
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHELBY ROSS HAHN MD
Provider Business Mailing Address
First Line : PO BOX 4046
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65808-4046
Country : US
Telephone Number : 417-269-5712
Fax Number : 417-269-7567
Provider Business Practice Location Address
First Line : 3800 S NATIONAL AVE STE 700
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65807-5279
Country : US
Telephone Number : 417-269-8817
Fax Number : 417-269-8744
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2007
Last Update Date : 01/18/2023

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Directions to “ DR. SHELBY ROSS HAHN MD” Practice Location

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