Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 284113 | NY |
N | 111NI0900X | Internist | 284113 | NY |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 284113 | NY |
NPI | 1689012478 |
---|---|
Provider Name | Kyung Taek Oh |
First Address | New York, NY 10032-3725 |
Second Address | New York, NY 10032-3729 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2013 |
Last Update Date | 30/07/2021 |