# SAM SEUNGHAE AHN

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

## Provider details

- **NPI number:** 1497783831
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | F1333 | TX | Yes |

## Other

- **Enumeration date:** 06/28/2006
- **Last updated:** 08/14/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 182297503 | — | TX |
| 01 | — | 208087232 | TRICARE/CHAMPUS | TX |
| 01 | — | 8AD481 | BLUE CROSS PPO | TX |
| 01 | — | P00429299 | RAILROAD MEDICARE | TX |