Individual
SUN HO AHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2520
(401) 453-8220
Mailing address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2520
(401) 453-8220
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
11200
RI
2085R0204X
Vascular & Interventional Radiology Physician
1019924
MA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
11200
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003128320
CT MED ASSISTANCE
—
01
—
192363405
CIGNA
—
01
—
1988
NHPRI
—
01
—
3707952
AETNA
—
01
—
411197
BLUE CHIP
—
01
—
9301225
PHHCS
—
01
—
AA21244
RIH PILGRIM
—
01
—
P00215986
RAILROAD MEDICARE
—
01
—
SA50936
RI MEDICAL ASSISTANCE
—
Enumeration date
01/30/2006
Last updated
10/23/2024
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