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Individual

DR. BYUNG CHAN THOMAS AHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
125060435
IL
2084N0400X
Neurology Physician
Primary
18133
NV
2084N0400X
Neurology Physician
DR.0055890
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13746319
CAQH NUMBER
NV
01
18133
MEDICAL LICENSE
NV
Enumeration date
03/24/2011
Last updated
08/20/2025
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