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NPI Code Detail

MEDICARE: DR. KYUNG WHAN MIN MD

MEDICARE:  DR. KYUNG WHAN MIN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician16352OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306825526
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KYUNG WHAN MIN MD
Provider Business Mailing Address
First Line : 14275 MIDWAY RD
Second Line : SUITE 400
City : ADDISON
State : TX
Zip : 75001-3614
Country : US
Telephone Number : 214-932-8029
Fax Number : 610-271-4245
Provider Business Practice Location Address
First Line : 3000 UNITED FOUNDERS BLVD
Second Line : SUITE 234
City : OKLAHOMA CITY
State : OK
Zip : 73112-3958
Country : US
Telephone Number : 405-842-2061
Fax Number : 405-842-3146
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2006
Last Update Date : 04/24/2014

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Directions to “ DR. KYUNG WHAN MIN MD” Practice Location

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