Jae Ahn, MD
Surgery in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1053102202
StatusActive
Last updated in NPPESMay 16, 2025
Details
- NPI
- 1053102202
- Entity type
- Individual (NPI-1)
- Name
- Jae Ahn
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 16, 2025
- Certification date
- May 16, 2025
- Last updated
- May 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 45722 | OK | Yes |
Practice location
800 Stanton L Young BlvdOklahoma City, OK 73104-5018
Phone 405-271-6308
Mailing address
800 Stanton L Young BlvdOklahoma City, OK 73104-5018
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