Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth Jungwook Han, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811429582

Kenneth Jungwook Han, MD is a Neurology in Meriden, Connecticut. Qualified in 2017, 9 years ago. Practices with New York Queens Medicine and Surgery, PC, a 401-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut and New York.

Years since qualifying
9
Licensed in
CT, NY
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

455 Lewis Ave Ste 221
Meriden, CT 06451-2121
Phone: (203) 694-8550
Fax: (203) 694-7698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 345 Saint Paul St, Baltimore, MD 21202-2123 — (401) 332-9694

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 316328 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Neurology Physician Taxonomy 2084N0400X · Licence 67816 (CT)

Record details

NPI number1811429582
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2017
Last updated in NPPESApril 17, 2024
Certification dateApril 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice New York Queens Medicine And Surgery, P.C. — 401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Meriden