Individual
DR. KWANG I SUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3545 OLENTANGY RIVER RD, SUITE 525, COLUMBUS, OH 43214-3907
(614) 261-1900
(614) 261-7538
Mailing address
3545 OLENTANGY RIVER RD, SUITE 525, COLUMBUS, OH 43214-3907
(614) 261-1900
(614) 261-7538
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2008022460
MO
2086S0102X
Surgical Critical Care Physician
Primary
2008022460
MO
2086S0127X
Trauma Surgery Physician
2008022460
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679631170
—
MO
01
—
2008022460
LICENSE #
MO
05
—
2148081
—
OH
01
—
G92865
UPIN
MO
Enumeration date
12/05/2006
Last updated
03/07/2023
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