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Individual
JIYONG AHN
Active
Individual
JIYONG AHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
187193
NY
2085R0204X
Vascular & Interventional Radiology Physician
0101257691
VA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
44196
CT
2085R0204X
Vascular & Interventional Radiology Physician
D79532
MD
2085R0204X
Vascular & Interventional Radiology Physician
MD45416
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194873
GROUP MEDICARE PTAN
PA
01
—
2323842
MEDICARE GROUP PTAN
NC
01
—
339L
MEDICARE GROUP PTAN
MD
01
—
789510
GROUP MEDICARE PTAN
IL
01
—
789511
GROUP MEDICARE PTAN
IL
01
—
C10441
MEDICARE GROUP PTAN
VA
01
—
D100037356
GROUP MEDICARE PTAN
CT
01
—
G01618
GROUP MEDICARE PTAN
VA
Enumeration date
07/13/2005
Last updated
06/06/2025
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