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Individual

DR. KEUNG S AHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-2976
(301) 946-5100
(301) 929-0348
Mailing address
11510 GEORGIA AVE, SUITE 206, WHEATON, MD 20902-1925
(301) 946-5100
(301) 929-0348

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD10347
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0048
CAREFIRST BCBS
DC
01
102641
KAISER
DC
01
2495194
AETNA HMO
DC
01
4080932
AETNA NON HMO
DC
01
441113
ANTHEM BCBS
VA
01
4699513003
CIGNA HMO
DC
01
493265
NCPPO
DC
05
5705321
VA
Enumeration date
07/11/2006
Last updated
07/09/2007
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