Doctor Name: | DR. MATTHEW T HAHN |
NPI Number: | 1841454600 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 0116020359 |
Business Practice Address: | 3650 Joseph Siewick Dr. #400 Fairfax, VA - 22033 |
Business Phone Number: | 7033912020 |
Business Fax Number: | 7033911211 |
Mailing Address: | Po Box 791128, BALTIMORE |
State: | MD |
Postal Code: | 212791128 |
Phone Number: | 7033912030 |
Fax Number: | 7032733943 |
NPI Enumeration Date: | 07/10/2008 |
NPI Last Update Date: | 02/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 0116020359 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |