person
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. You can also correspond with Chung Wan Han through the mailing address at 5105 BACKLICK ROAD, ANNANDALE, VA - 22003 (mailing address contact number: ).

Location: 7201 Byrneley Ln, Annandale, VA, 22003
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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
State
Zip
22003-6015
Phone Number
703-354-9222
Fax Number
person
Provider Business Mailing Address Details
Address
7201 Byrneley Ln
City
State
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
License No.
0101052584 (Virginia)
Definition
Definition to come...
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