| Shenggao Han Md Llc | |
|
625 Rustic Lodge Rd Suite B Indiana PA 15701-3440 | |
| (724) 463-3720 | |
| (724) 463-6111 |
| Full Name | Shenggao Han Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 625 Rustic Lodge Rd, Indiana, Pennsylvania |
| Authorized Official Name and Position | Robert Paul Snyder (PHYSICIAN) |
| Authorized Official Contact | 4128411994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shenggao Han Md Llc 625 Rustic Lodge Rd Suite B Indiana PA 15701-3440 Ph: (724) 463-3720 | Shenggao Han Md Llc 625 Rustic Lodge Rd Suite B Indiana PA 15701-3440 Ph: (724) 463-3720 |
| NPI Number | 1639577737 |
|---|---|
| Provider Enumeration Date | 12/05/2014 |
| Last Update Date | 12/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639577737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS009746L (Pennsylvania) | Primary |
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