MEDICARE: YONG HUI AHN 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
1	207R00000X	Internal Medicine Physician	1846741205	UT

Other Identifiers

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

General Provider Information

NPI Number	:	1427023571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YONG HUI AHN MD

Provider Business Mailing Address
First Line	:	24 S 1100 E STE 310
Second Line	:
City	:	SLC
State	:	UT
Zip	:	84102-1500
Country	:	US
Telephone Number	:	801-328-1260
Fax Number	:	801-350-4361

Provider Business Practice Location Address
First Line	:	24 S 1100 E STE 310
Second Line	:
City	:	SLC
State	:	UT
Zip	:	84102-1500
Country	:	US
Telephone Number	:	801-328-1260
Fax Number	:	801-350-4361

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

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	01/15/2021

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Directions to “ YONG HUI AHN MD” Practice Location

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