Active NPI
Sang K. Han, M.D., F.a.C.S., P.a.
- Surgery Physician
- Glen Burnie, MD
National Provider Identifier
1396846705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D17694
- Legal business name
- SANG K. HAN, M.D., F.A.C.S., P.A.
- Practice address
- 1600 Crain Hwy S
Suite # 406
Glen Burnie, MD 21061-5577 - Phone
- (410) 766-3331
- NPI assigned
- Sep 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sang K. Han, M.D.
- Title
- President
- Phone
- (410) 766-3331
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D17694 | MD | Primary |
Addresses
Primary practice location
1600 Crain Hwy S
Suite # 406
Glen Burnie, MD 21061-5577
Mailing address
PO Box 219
Pasadena, MD 21123-0219
Phone (410) 766-3331
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CF8660 | Other | MD | RAILROAD MEDICARE GROUP # |
| K967SA | Other | MD | CAREFIRST MARYLAND # |
| E388 | Other | MD | BLUECHOICE # |
| 548851600 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
1600 Crain Hwy S
Ste 406
Glen Burnie, MD 21061
Phone (410) 760-7333
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Rockville, MD
- NPI 1255523239
-
- Surgery Physician
- Glen Burnie, MD
- NPI 1356367445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209945600000",
"number": "1396846705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 219",
"city": "PASADENA",
"state": "MD",
"postal_code": "211230219",
"telephone_number": "410-766-3331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 CRAIN HWY S",
"address_2": "SUITE # 406",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615577",
"telephone_number": "410-766-3331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANG K. HAN, M.D., F.A.C.S., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2008-05-05",
"status": "A",
"authorized_official_last_name": "HAN",
"authorized_official_first_name": "SANG",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-766-3331",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "MD",
"license": "D17694",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP #",
"identifier": "CF8660",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MARYLAND #",
"identifier": "K967SA",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHOICE #",
"identifier": "E388",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "548851600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.