Kwangsup K Sheen in Peckville - Internal Medicine

Kwangsup K Sheen - NPI 1063498228

Kwangsup K Sheen is a Internal Medicine in Peckville, Pennsylvania. Kwangsup K Sheen practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kwangsup K Sheen is 1063498228. The last update date is 2008-08-05.

Kwangsup K Sheen's current location address is 1400 Main St, Peckville, Pennsylvania. You can contact this provider via phone number 5703835511. The mailing address for Kwangsup K Sheen is 1400 Main St, Peckville, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Kwangsup K Sheen
Address 1400 Main St, Peckville, Pennsylvania
Phone Number 5703835511
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1063498228
Provider Enumeration Date 2005-12-20
Last Updated Date 2008-08-05

Provider Mailing Address Detail

Address 1400 Main St
City Peckville
State Pennsylvania (PA)
Post Code 184522009
Phone Number 5703835511
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No MD056601L
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1746129 PA --
861181 PA HIGHMARK BLUE SHIELD

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FAQs about Kwangsup K Sheen

What is the unique 10-digit identification code issued to Kwangsup K Sheen by the Centers for Medicare & Medicaid Services?

The Kwangsup K Sheen has been assigned the NPI (National Provider Identifier) 1063498228 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Kwangsup K Sheen's physical address?

The Kwangsup K Sheen is physically located at 1400 Main St, in the city of Peckville, PA, with the postal code 184522009.

What is Kwangsup K Sheen's area of expertise and its corresponding taxonomy classification?

The Kwangsup K Sheen's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.

On what date did Kwangsup K Sheen receive its 1063498228 assignment from the Centers for Medicare & Medicaid Services?

The Kwangsup K Sheen was assigned its 1063498228 on 2005-12-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Kwangsup K Sheen's details last updated?

The information pertaining to the Kwangsup K Sheen, including its address, specialty, and other details, was most recently updated on 2008-08-05.

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