Individual
SAM U HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036-049378
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130000480
RR MEDICARE
—
01
—
216-09854-34
BC/BS
IL
01
—
638431
PTAN
IL
01
—
R014672
CHAMPUS
—
Enumeration date
03/28/2006
Last updated
03/02/2019
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