Individual
MICHAEL SUNGHUN YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4440 RED BANK RD STE 200, CINCINNATI, OH 45227-2177
(513) 564-3822
(513) 564-3824
Mailing address
237 WILLIAM HOWARD TAFT RD FL 2, CINCINNATI, OH 45219-2610
(513) 263-8551
(513) 366-4480
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-076739
OH
208000000X
Pediatrics Physician
35-076739
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200247420
—
IN
05
—
2148474
—
OH
05
—
64964117
—
KY
Enumeration date
05/04/2006
Last updated
12/03/2018
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