Myung Ho Hahn, MD
Individual provider Active NPI Critical Care Medicine (Internal Medicine) Physician · Lacrosse, WI
NPI 1023091741 · NPPES record last updated Jan 24, 2012
Key facts
- NPI
- 1023091741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician 207RC0200X
- License
- 42451 (WI)
- Practice address
- 800 West Avenue South
Lacrosse, WI 54601 - Phone
- (608) 792-9886
- Fax
- (608) 791-7851
- NPI assigned
- Nov 28, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42451 | WI | MD | Critical Care Medicine (Internal Medicine) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 42451 | WI | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 42451 | WI | Yes |
| Pulmonary Disease Physician | 207RP1001X | 42451 | WI |
Addresses
Primary practice location
800 West Avenue South
Lacrosse, WI 54601
Mailing address
800 West Avenue South
Lacrosse, WI 54601
Phone (608) 392-9886
Other providers in Lacrosse, WI
- Lawrence D Furlong
- Pamela Ann Gearing
- Charity K George
- Cindy J Glennie
- Christine Narten Gruendeman
- Devin C Hakala
- Marie E Hill
- Joseph R Hooyman
- Mary Bernadette Hovel
- Kathryn S Howells
All providers in Lacrosse, WI · Critical Care Medicine (Internal Medicine) Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.