Individual
DR. HAN SUK KOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD063640L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018673940001
—
PA
05
—
02195884
—
NY
01
—
130024722
RR MEDICARE PIN
PA
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039821
MEDICARE GROUP
PA
Enumeration date
03/16/2006
Last updated
08/02/2011
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