Individual
GARRETT KUNGHO NI
Active
Individual
GARRETT KUNGHO NI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
MT217956
PA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
036.175863
IL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
A196402
CA
Other
Enumeration date
06/14/2019
Last updated
02/06/2026
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