IndividualActive
Chung Han
NPI 1104906882 · Primary Care Clinic/Center · Annandale, VA
Provider details
- NPI number
- 1104906882
- Entity type
- Individual
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0101052584 (VA)
Mailing address
5105 Backlick Road
Annandale, VA 22003
Registry dates
- Enumerated
- 2006-10-16
- Last updated
- 2026-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.