Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 35077633S | OH |
NPI | 1023011475 |
---|---|
Provider Name | Steven Hwan Suh |
First Address | Westerville, OH 43082-6909 |
Second Address | Westerville, OH 43082-6909 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2005 |
Last Update Date | 17/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000117384 | ANTHEM BC/BS (01) | OH |
0801266 | UHC (01) | OH |
0950160001 | MEDICARE DME (01) | OH |
2197199 | (05) | OH |
2324896 | AETNA (01) | OH |
G78849 | (02) |