Provider Demographics
NPI:1063434082
Name:HAN, JIHO JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:JIHO
Middle Name:JOSEPH
Last Name:HAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8001 FRANKLIN FARMS DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-5108
Mailing Address - Country:US
Mailing Address - Phone:804-521-5800
Mailing Address - Fax:804-545-4340
Practice Address - Street 1:4700 PUDDLEDOCK RD
Practice Address - Street 2:400
Practice Address - City:PRINCE GEORGE
Practice Address - State:VA
Practice Address - Zip Code:23875-1268
Practice Address - Country:US
Practice Address - Phone:804-458-1740
Practice Address - Fax:804-541-1846
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101043040207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA276230OtherANTHEM/VA HEALTHKEEPERS
VA72342OtherSOUTHERN HEALTH SERVICES
VA276199OtherANTHEM/VA HEALTHKEEPERS
VA5807344Medicaid
VA94583250OtherCHAMPUS/TRICARE
VA304579OtherMAMSI
VA60044903OtherRAILROAD MEDICARE
VA276355OtherANTHEM/VA HEALTHKEEPERS
VA276248OtherANTHEM/VA HEALTHKEEPERS
VA276297OtherANTHEM/VA HEALTHKEEPERS
VA531349OtherCIGNA
VI553980OtherAETNA/US HEALTHCARE HMO
VA103863OtherANTHEM/VA HEALTHKEEPERS
VA27413300OtherFEDERAL BLACK LUNG
VA4652158OtherAETNA/US HEALTHCARE
VA25-00389OtherUNITED HEALTHCARE
VA271955OtherANTHEM/VA HEALTHKEEPERS
VA44223OtherSENTARA HEALTH/OPTIMA
VA276199OtherANTHEM/VA HEALTHKEEPERS
VA276297OtherANTHEM/VA HEALTHKEEPERS