Provider Demographics
NPI:1144675414
Name:HAN, JAMES YIN (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:YIN
Last Name:HAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 MILL RUN DR
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-1532
Mailing Address - Country:US
Mailing Address - Phone:724-840-4509
Mailing Address - Fax:
Practice Address - Street 1:5701 W CHARLESTON BLVD STE 201
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-0903
Practice Address - Country:US
Practice Address - Phone:702-750-0313
Practice Address - Fax:702-487-3197
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-25
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV22010207RG0100X
CAA153319207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine