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NPI Code Detail

MEDICARE: JENNIFER AHN M.D.

MEDICARE: JENNIFER AHN M.D.
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
12088P0231XPediatric Urology Physician60550682WA

General Provider Information

NPI Number : 1992931281
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER AHN M.D.
Provider Business Mailing Address
First Line : 4800 SAND POINT WAY NE
Second Line : OA.9.220
City : SEATTLE
State : WA
Zip : 98105-3901
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4800 SAND POINT WAY NE
Second Line : OA.9.220
City : SEATTLE
State : WA
Zip : 98105-3901
Country : US
Telephone Number : 206-987-4228
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2009
Last Update Date : 03/24/2016

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