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Chung Wan Han
Primary Care Clinic/Center in Annandale, Virginia
NPI 1104906882

Chung Wan Han is a Primary Care Clinic/Center based in Annandale, VA and is specialized in Primary Care. Chung Wan Han practices in Annandale, VA. The NPI Number for Chung Wan Han is 1104906882 and holds a License No. 0101052584 (Virginia).

The current practice location address for Chung Wan Han is 7201 Byrneley Ln, Annandale, VA and can be reached out via phone at 703-354-9222.

Location: 7201 Byrneley Ln, Annandale, VA, 22003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104906882
Provider Name
Chung Wan Han
Credential
Provider Entity Type
Individual
Gender
Male
Address
7201 Byrneley Ln, Annandale, VA, 22003
Phone Number
703-354-9222
Fax Number
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2215418 01 VA HMO
05812470 05 VA
institution
Provider Business Practice Location Address Details
Address
7201 Byrneley Ln
City
Annandale
State
Virginia
Zip
22003-6015
Phone Number
703-354-9222
Fax Number
person
Provider Business Mailing Address Details
Address
7201 Byrneley Ln
City
Annandale
State
Virginia
Zip
22003-6015
Phone Number
703-354-9222
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
0101052584 (Virginia)
Definition
Definition to come...
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