Individual
ANDREW YOUNG KOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 456-2382
(214) 456-6133
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 456-2382
(214) 456-6133
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
159021
MA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
N3119
TX
2080P0208X
Pediatric Infectious Diseases Physician
159021
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159021
TUFTS
—
05
—
3195571
—
MA
01
—
7627170
CIGNA
—
01
—
A2981
MEDICARE
—
01
—
AA11740
HPHC DFCI ONLY
—
01
—
J21026
MA BCBS
—
Enumeration date
03/02/2006
Last updated
02/20/2017
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