| Shenggao Han, M.d., Llc | |
|
625 Rustic Lodge Rd Ste B Indiana PA 15701-3403 | |
| (724) 463-3720 | |
| Not Available |
| Full Name | Shenggao Han, M.d., Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 625 Rustic Lodge Rd Ste B, Indiana, Pennsylvania |
| Authorized Official Name and Position | Shenggao Han (MD) |
| Authorized Official Contact | 7244633720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shenggao Han, M.d., Llc 625 Rustic Lodge Rd Ste B Indiana PA 15701-3403 Ph: (724) 463-3720 | Shenggao Han, M.d., Llc 625 Rustic Lodge Rd Ste B Indiana PA 15701-3403 Ph: (724) 463-3720 |
| NPI Number | 1902843170 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 03/05/2024 |
| Medicare PECOS PAC ID | 5799680310 |
|---|---|
| Medicare Enrollment ID | O20031205000200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902843170 | NPI | - | NPPES |
| 1010368600001 | Medicaid | PA | |
| 1532898 | Other | PA | HIGHMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shenggao Han |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679558746 PECOS PAC ID: 8729983291 Enrollment ID: I20031208000039 |
| Provider Name | Xianwen Qiao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285972885 PECOS PAC ID: 8628223310 Enrollment ID: I20130304000043 |
| Provider Name | Robert Paul Snyder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932598414 PECOS PAC ID: 2062738933 Enrollment ID: I20150312000597 |
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