Individual
SOPHIA SUNG HOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4401 PENN AVENUE, 5TH FL. FACULTY PAVILION, PGH, PA 15224
(412) 692-7626
(412) 692-5817
Mailing address
4401 PENN AVENUE, 5TH FL. FACULTY PAVILION, PGH, PA 15224
(412) 692-7626
(412) 692-5817
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
G70336
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD050543L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G703360
—
CA
01
—
G70336
CALIFORNIA STATE LICENSE
CA
Enumeration date
11/29/2005
Last updated
08/13/2015
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