Individual
KYUNG HEUP AHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
184 LIBERTY ST, YALE PSYCHIATRIC HOSPITAL, NEW HAVEN, CT 06519-1625
(203) 688-9907
Mailing address
107 JOHN ST, SUITE 3A, SOUTHPORT, CT 06890-1466
(203) 429-4392
(844) 704-5841
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
045620
CT
208D00000X
General Practice Physician
045620
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/21/2007
Last updated
01/06/2021
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