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Individual

SE JIN AHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2825 OAK LAWN AVE UNIT 192749, DALLAS, TX 75219-4688
(510) 683-9500
Mailing address
2825 OAK LAWN AVE UNIT 192749, DALLAS, TX 75219-4688
(510) 683-9500
(877) 880-2039

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35C.003922
OH
2085R0202X
Diagnostic Radiology Physician
A159414
CA
2085R0202X
Diagnostic Radiology Physician
Primary
MD61036239
WA
2085R0202X
Diagnostic Radiology Physician
T7407
TX

Other

Enumeration date
07/01/2014
Last updated
04/03/2026
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