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

MA Ai Thanda Han, MD

Individual provider Gastroenterology Physician · NPI 1114202579

MA Ai Thanda Han, MD is a Gastroenterology in Phoenix, Arizona. Qualified in 2005, 21 years ago. Practices with Banner - University Super Specialists LLC, a 32-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
21
Licensed in
MN
In the registry since
2011
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

1441 N 12th St Fl 2
Phoenix, AZ 85006-2837
Phone: (507) 284-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5601 Loch Raven Blvd # 502, Baltimore, MD 21239-2905 — (443) 444-4863

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 65540 (MN)

Record details

NPI number1114202579
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 18, 2011
Last updated in NPPESSeptember 11, 2025
Certification dateAugust 19, 2021

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Banner - University Super Specialists Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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