Provider Demographics
NPI:1174781959
Name:HAHN, CHRISTINE GABRIELE (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:GABRIELE
Last Name:HAHN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 83720
Mailing Address - Street 2:450 W. STATE ST., 4TH FLOOR
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83720-0003
Mailing Address - Country:US
Mailing Address - Phone:208-334-5939
Mailing Address - Fax:208-332-7307
Practice Address - Street 1:450 W STATE ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702-6056
Practice Address - Country:US
Practice Address - Phone:208-334-5939
Practice Address - Fax:208-332-7307
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-28
Last Update Date:2008-05-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IDM-7125207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease