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NPI Code Detail

MEDICARE: KI-HO MOON M.D.

MEDICARE: KI-HO MOON 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
1207X00000XOrthopaedic Surgery Physician132361NY

Other Identifiers

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

General Provider Information

NPI Number : 1982644563
Entity Type Code : Individual
Provider Name (Legal Business Name) : KI-HO MOON M.D.
Provider Business Mailing Address
First Line : 326 7TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-3311
Country : US
Telephone Number : 718-965-3393
Fax Number :
Provider Business Practice Location Address
First Line : 326 7TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-3311
Country : US
Telephone Number : 718-965-3393
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 10/11/2007

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