Provider Demographics
NPI:1437512134
Name:BAN, BYUNG HOON (DO)
Entity Type:Individual
Prefix:DR
First Name:BYUNG
Middle Name:HOON
Last Name:BAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:989 LAWRENCEVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-4702
Mailing Address - Country:US
Mailing Address - Phone:770-962-1616
Mailing Address - Fax:770-962-7977
Practice Address - Street 1:989 LAWRENCEVILLE HWY
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-4702
Practice Address - Country:US
Practice Address - Phone:770-962-1616
Practice Address - Fax:770-962-7977
Is Sole Proprietor?:No
Enumeration Date:2016-03-30
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA88426207RR0500X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology