MEDICARE: DR. BETHANY CALAWAY HAHN 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	207V00000X	Obstetrics & Gynecology Physician	MD445319	PA
2	207V00000X	Obstetrics & Gynecology Physician	35.122383	OH

General Provider Information

NPI Number	:	1952564700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BETHANY CALAWAY HAHN M.D.

Provider Business Mailing Address
First Line	:	1125 YARD ST STE 200
Second Line	:
City	:	GRANDVIEW HEIGHTS
State	:	OH
Zip	:	43212-3930
Country	:	US
Telephone Number	:	614-434-2400
Fax Number	:	614-434-2499

Provider Business Practice Location Address
First Line	:	1125 YARD ST STE 200
Second Line	:
City	:	GRANDVIEW HEIGHTS
State	:	OH
Zip	:	43212-3930
Country	:	US
Telephone Number	:	614-434-2400
Fax Number	:	614-434-2499

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

Provider Enumeration Date	:	07/02/2008
Last Update Date	:	03/18/2024

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