Individual provider · NPI-1

Dr. Anna Ahn, M.D.

Internal Medicine · Stony Brook, NY

NPI number1700105533
StatusActive
Last updated in NPPESAug 12, 2018

Details

NPI
1700105533
Entity type
Individual (NPI-1)
Name
Dr. Anna Ahn
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
May 18, 2010
Last updated
Aug 12, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineD75970MDYes
207R00000X Internal Medicine249976NY

Practice location

Medical Staff Office T9
Stony Brook University Hospital
Stony Brook, NY 11794

Phone 631-444-2754 · Fax 631-444-6031

Mailing address

920 Elkridge Landing Rd
Linthicum, MD 21090-2917

Phone 443-462-5010

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