Individual
PAUL YOUNGBOK OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2544 COURT DR STE G, GASTONIA, NC 28054-3450
(704) 854-9990
(704) 854-9045
Mailing address
2544 COURT DR STE G, GASTONIA, NC 28054-3450
(704) 854-9990
(704) 854-9045
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
01054173A
IN
207RG0100X
Gastroenterology Physician
Primary
2010-00244
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000202136
ANTHEM PROVIDER NUMBER
IN
01
—
10825690
CAQH NUMBER
IN
01
—
159C4
BCBS
NC
05
—
1689633794
—
NC
05
—
200340710
—
IN
01
—
510421
PHCS PID NUMBER
IN
Enumeration date
03/20/2006
Last updated
07/21/2022
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