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Individual

DR. SUNGKEE SAMUEL AHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
21 CROSSROADS DR, STE 100, OWINGS MILLS, MD 21117-5441
(410) 356-8186
(410) 356-4180
Mailing address
10373A REISTERSTOWN RD, OWINGS MILLS, MD 21117-3617
(410) 356-8186
(410) 356-4180

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0043302
MD
2085N0700X
Neuroradiology Physician
D0043302
MD
2085R0202X
Diagnostic Radiology Physician
270416
NY
2085R0202X
Diagnostic Radiology Physician
Primary
D0043302
MD
2085R0202X
Diagnostic Radiology Physician
MD036130
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0002
BC BS J062
MD
01
0019
BC BS 2849
DC
05
1000038547
DE
05
180941500
MD
01
KA80
B/C B/S
MD
Enumeration date
02/01/2006
Last updated
08/18/2025
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