Provider Demographics
NPI:1861431173
Name:HAHN, MATTHEW ABNER (MD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:ABNER
Last Name:HAHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:131 N PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:HANCOCK
Mailing Address - State:MD
Mailing Address - Zip Code:21750-1135
Mailing Address - Country:US
Mailing Address - Phone:301-678-7007
Mailing Address - Fax:301-678-7009
Practice Address - Street 1:131 N PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:HANCOCK
Practice Address - State:MD
Practice Address - Zip Code:21750-1135
Practice Address - Country:US
Practice Address - Phone:301-678-7007
Practice Address - Fax:301-678-7009
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0056048207Q00000X
WV23217207Q00000X
VA0101244097207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H29827Medicare UPIN
MD211809Medicare ID - Type UnspecifiedFQHC