Sang-Wahn Koo
Psychiatry & Neurology, Psychiatry in Apo, AP. Individual provider (NPI-1).
NPI number1083802128
StatusActive
Last updated in NPPESMay 7, 2025
Details
- NPI
- 1083802128
- Entity type
- Individual (NPI-1)
- Name
- Sang-Wahn Koo
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2007
- Certification date
- May 7, 2025
- Last updated
- May 7, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | ME133410 | FL | Yes |
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | ME133410 | FL | |
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | 31708 | AL |
Practice location
Unit 15245 Box BrianApo, AP 96271-5245
Phone 315-737-5817
Mailing address
Unit 15281 Box UsameddaApo, AP 96271-5281
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