Healthcare Provider Details

I. General information

NPI: 1447205257
Provider Name (Legal Business Name): ALBERT K OH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MICHIGAN AVE NW
WASHINGTON DC
20010-2916
US

IV. Provider business mailing address

2 DUDLEY ST SUITE 190
PROVIDENCE RI
02905-3236
US

V. Phone/Fax

Practice location:
  • Phone: 888-884-2327
  • Fax:
Mailing address:
  • Phone: 401-444-2299
  • Fax: 401-444-2924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number225477
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number0101245330
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: