Provider Demographics
NPI:1972673028
Name:HAHN, WILLIAM HENRY (DPM)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:HENRY
Last Name:HAHN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 NORTH MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014
Mailing Address - Country:US
Mailing Address - Phone:410-803-0788
Mailing Address - Fax:410-803-1859
Practice Address - Street 1:110 OLD PADONIA RD STE 301
Practice Address - Street 2:
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-4948
Practice Address - Country:US
Practice Address - Phone:410-628-1066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01161213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDH792OtherBLUE CROSS
MDE602OtherNATIONAL CAP BLUE
MD046428700Medicaid
ZZ91Medicare PIN
MDE602OtherNATIONAL CAP BLUE
MD046428700Medicaid