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NPI Code Detail

MEDICARE: DR. DANNY WOO MD

MEDICARE: DR. DANNY WOO 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
1207RN0300XNephrology Physician20248KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11050713OTHERKYPASSPORT
2000000062782OTHERKYANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710989884
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANNY WOO MD
Provider Business Mailing Address
First Line : 6400 DUTCHMANS PKWY
Second Line : STE 250
City : LOUISVILLE
State : KY
Zip : 40205-3340
Country : US
Telephone Number : 502-587-9660
Fax Number : 502-540-5615
Provider Business Practice Location Address
First Line : 6400 DUTCHMANS PKWY
Second Line : STE 250
City : LOUISVILLE
State : KY
Zip : 40205-3340
Country : US
Telephone Number : 502-587-9660
Fax Number : 502-540-5615
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2005
Last Update Date : 09/08/2011

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Directions to “ DR. DANNY WOO MD” Practice Location

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