Basic Information
Provider Information
NPI: 1457697211
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAHN
FirstName: KATHERINE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10770 COLUMBIA PIKE STE 400
Address2:  
City: SILVER SPRING
State: MD
PostalCode: 209014462
CountryCode: US
TelephoneNumber: 1240485521
FaxNumber:  
Practice Location
Address1: 10801 LOCKWOOD DR STE 200
Address2:  
City: SILVER SPRING
State: MD
PostalCode: 209011562
CountryCode: US
TelephoneNumber: 3015932002
FaxNumber: 3015934781
Other Information
ProviderEnumerationDate: 12/26/2012
LastUpdateDate: 11/23/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/23/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XD0088137MDN193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XBW2881921367NYN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RG0100XD0088137MDY193400000X MULTIPLE SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

No ID Information.


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