Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 2008032774 | MO |
Y | 208000000X | Pediatrician | MD041426 | DC |
N | 2080P0210X | Pediatric Nephrologist | 2008032774 | MO |
NPI | 1164676375 |
---|---|
Provider Name | Dr. Sun-Young Ahn |
First Address | Baltimore, MD 21297-3215 |
Second Address | Washington, DC 20010-2916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2008 |
Last Update Date | 22/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1516164 | (05) | TN |