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NPI Code Detail

MEDICARE: DR. IHN WHAN ROH M.D.

MEDICARE:  DR. IHN WHAN ROH  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
1207Q00000XFamily Medicine PhysicianD0018092MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
127449OTHERMDPRIORITY PARTNERS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
301034225OTHERMDAMERIGROUP OF MARYLAND COMMUNITY CARE

General Provider Information

NPI Number : 1558367334
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IHN WHAN ROH M.D.
Provider Business Mailing Address
First Line : 5107 SILVER HILL RD
Second Line :
City : SUITLAND
State : MD
Zip : 20746-5213
Country : US
Telephone Number : 301-568-1784
Fax Number : 301-899-8250
Provider Business Practice Location Address
First Line : 5107 SILVER HILL RD
Second Line :
City : SUITLAND
State : MD
Zip : 20746-5213
Country : US
Telephone Number : 301-568-1784
Fax Number : 301-899-8250
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2005
Last Update Date : 12/01/2008

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Directions to “ DR. IHN WHAN ROH M.D.” Practice Location

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