Individual
DANIEL KOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036155512
IL
207RH0003X
Hematology & Oncology Physician
2021030706
MO
207RH0003X
Hematology & Oncology Physician
MD-49003
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03716745
—
NY
05
—
1034672960001
—
PA
01
—
641050PZP
MEDICARE
PA
01
—
P01316383
RAILROAD MEDICARE
NY
Enumeration date
09/23/2006
Last updated
04/18/2024
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