Provider Demographics
NPI:1417990151
Name:NOH, INKYU (MD)
Entity Type:Individual
Prefix:
First Name:INKYU
Middle Name:
Last Name:NOH
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 1:150 W. PARKER RD. #503
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77076-2938
Mailing Address - Country:US
Mailing Address - Phone:713-692-0338
Mailing Address - Fax:713-692-0660
Practice Address - Street 1:150 W PARKER RD STE 503
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-2938
Practice Address - Country:US
Practice Address - Phone:713-692-0338
Practice Address - Fax:713-692-0660
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE0569207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10014572Medicaid
4080595OtherAETNA HMO
2165750OtherAETNA
4080595OtherAETNA HMO
TXE81284Medicare UPIN