MEDICARE: DR. SUNAH OH D.O.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	3094	WV
2	207R00000X	Internal Medicine Physician	076428	GA
3	207R00000X	Internal Medicine Physician	39365	SC
4	207R00000X	Internal Medicine Physician	17640	NH
5	207R00000X	Internal Medicine Physician	2015-01456	NC
6	207R00000X	Internal Medicine Physician	E-10216	AR
7	207R00000X	Internal Medicine Physician	DO034585	DC
8	207R00000X	Internal Medicine Physician	DO3330	ME
9	207R00000X	Internal Medicine Physician	2022010134	MO
10	207R00000X	Internal Medicine Physician	T6661	TX
11	207R00000X	Internal Medicine Physician	04021	KY
12	207R00000X	Internal Medicine Physician	34.012387	OH
13	207R00000X	Internal Medicine Physician	3051	TN
14	207R00000X	Internal Medicine Physician	0102204671	VA
15	207R00000X	Internal Medicine Physician	200935	NY

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

NPI Number	:	1447225396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUNAH OH D.O.

Provider Business Mailing Address
First Line	:	1 CALIFORNIA ST STE 2300
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94111-5424
Country	:	US
Telephone Number	:	800-997-6196
Fax Number	:	415-504-1367

Provider Business Practice Location Address
First Line	:	1 CALIFORNIA ST STE 2300
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94111-5424
Country	:	US
Telephone Number	:	800-997-6196
Fax Number	:	415-504-1367

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	12/20/2023

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515