MEDICARE: MICHAEL R HAHN II M.D.

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	174400000X	Specialist	18431	OK
2	207T00000X	Neurological Surgery Physician	18431	OK

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	:	1891784237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL R HAHN II M.D.

Provider Business Mailing Address
First Line	:	800 NW 9TH ST STE 201
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73106-7253
Country	:	US
Telephone Number	:	405-979-7875
Fax Number	:	405-979-7880

Provider Business Practice Location Address
First Line	:	800 NW 9TH ST STE 201
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73106-7253
Country	:	US
Telephone Number	:	405-979-7875
Fax Number	:	405-979-7880

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

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	03/13/2023

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