| Han Ton-that, M.d., P.c. | |
|
6305 Castle Pl Suite 1-a Falls Church VA 22044-1905 | |
| (703) 534-9090 | |
| (703) 534-9191 |
| Full Name | Han Ton-that, M.d., P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6305 Castle Pl, Falls Church, Virginia |
| Authorized Official Name and Position | Han Ton-that (PRESIDENT) |
| Authorized Official Contact | 7035349090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Han Ton-that, M.d., P.c. 6305 Castle Pl Suite 1-a Falls Church VA 22044-1905 Ph: (703) 534-9090 | Han Ton-that, M.d., P.c. 6305 Castle Pl Suite 1-a Falls Church VA 22044-1905 Ph: (703) 534-9090 |
| NPI Number | 1346526514 |
|---|---|
| Provider Enumeration Date | 11/01/2011 |
| Last Update Date | 11/01/2011 |
| Medicare PECOS PAC ID | 3274709555 |
|---|---|
| Medicare Enrollment ID | O20120109000592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346526514 | NPI | - | NPPES |
| 031861600 | Medicaid | DC | |
| 005838380 | Medicaid | VA | |
| 177300300 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0101055233 (Virginia) | Primary |
| Provider Name | Han Ton-that |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215045729 PECOS PAC ID: 1254507536 Enrollment ID: I20120109000615 |
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