Individual
SANG SUNG AHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5586 S FORT APACHE RD, STE 100, LAS VEGAS, NV 89148-3619
(702) 384-8099
(702) 384-3930
Mailing address
5586 S FORT APACHE RD, STE 100, LAS VEGAS, NV 89148-3619
(702) 384-8099
(702) 384-3930
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
5481
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20-025984
—
NV
Enumeration date
09/22/2006
Last updated
07/09/2007
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