# DR. SEOKHAN SONG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194163170
- **Gender:** Man
- **Credential:** D.O., M.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0102204062 | VA | — |
| 207Q00000X | Family Medicine Physician | 011740 | AZ | Yes |
| 207Q00000X | Family Medicine Physician | DO-05789 | IA | Yes |

## Other

- **Enumeration date:** 06/12/2013
- **Last updated:** 04/14/2026