Provider Demographics
NPI:1073734448
Name:KOH, WOON HI (MD)
Entity Type:Individual
Prefix:DR
First Name:WOON
Middle Name:HI
Last Name:KOH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CANAL DR
Mailing Address - Street 2:
Mailing Address - City:POQUOSON
Mailing Address - State:VA
Mailing Address - Zip Code:23662-2104
Mailing Address - Country:US
Mailing Address - Phone:757-880-2166
Mailing Address - Fax:757-868-9841
Practice Address - Street 1:10 CANAL DR
Practice Address - Street 2:
Practice Address - City:POQUOSON
Practice Address - State:VA
Practice Address - Zip Code:23662-2104
Practice Address - Country:US
Practice Address - Phone:757-880-2166
Practice Address - Fax:757-868-9841
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101025253207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine