NPIMap

Organization Active NPI

Suk Kyun Hahn MD Mac

  • Internal Medicine Physician
  • Lutherville, MD
National Provider Identifier
1073701314
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0037449 Issued in MD
Legal business name
SUK KYUN HAHN MD MAC
Practice address
1300 York Road
Suite 310
Lutherville, MD 21093
Phone
(410) 821-5610
Fax
(410) 821-5809
NPI assigned
Oct 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Suk Kyun Hahn, MD MACNPI 1770646036
Title
Owner
Phone
(410) 821-5610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X U00578 MD
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 400578 MD
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X D0037449 MD Primary

Addresses

Primary practice location

1300 York Road
Suite 310
Lutherville, MD 21093

Mailing address

1300 York Road
Suite 310
Lutherville, MD 21093
Phone (410) 821-5610

Other identifiers 1

IdentifierTypeStateIssuer
070461000MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Suk Kyun Hahn MD Mac2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1300 York Rd
Ste 310
Lutherville Timonium, MD 21093
Phone (410) 821-5610

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1073701314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 YORK ROAD",
            "address_2": "SUITE 310",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "410-821-5610",
            "fax_number": "410-821-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 YORK ROAD",
            "address_2": "SUITE 310",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "410-821-5610",
            "fax_number": "410-821-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUK KYUN HAHN MD MAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "SUK KYUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-821-5610",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD MAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U00578",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "400578",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0037449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070461000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.