Individual
DAEYOUNG D ROH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15492 E PRENTICE DR, CENTENNIAL, CO 80015-4267
(817) 296-9180
(817) 421-6252
Mailing address
15492 E PRENTICE DR, CENTENNIAL, CO 80015-4267
(817) 296-9180
(817) 421-6252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0051910
CO
207R00000X
Internal Medicine Physician
G62251
CA
207R00000X
Internal Medicine Physician
M3075
TX
207RN0300X
Nephrology Physician
M3075
TX
208M00000X
Hospitalist Physician
Primary
G62251
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179849801
—
TX
05
—
179849802
—
TX
05
—
179849803
—
TX
05
—
179849805
—
TX
01
—
63503514
MEDICAID
CO
01
—
8S5106
BCBS
TX
Enumeration date
05/18/2006
Last updated
10/19/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us