Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 0101235830 | VA |
NPI | 1053498766 |
---|---|
Provider Name | Dr. Sugkee Youn |
First Address | Centreville, VA 20121-2460 |
Second Address | Centreville, VA 20121-2460 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 09/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I48896 | (02) | OH |