Individual
CHANG-HOON AHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2845 SIENA HEIGHTS DR, HENDERSON, NV 89052-4153
(702) 617-1227
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 617-1227
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1338
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558350827
—
NV
01
—
V104399
MEDICARE SMA REVALIDATION
NV
Enumeration date
10/19/2005
Last updated
01/17/2017
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