Provider Demographics
NPI:1447225396
Name:OH, SUNAH (DO)
Entity Type:Individual
Prefix:DR
First Name:SUNAH
Middle Name:
Last Name:OH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CALIFORNIA ST STE 2300
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-5424
Mailing Address - Country:US
Mailing Address - Phone:800-997-6196
Mailing Address - Fax:415-504-1367
Practice Address - Street 1:1 CALIFORNIA ST STE 2300
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111-5424
Practice Address - Country:US
Practice Address - Phone:800-997-6196
Practice Address - Fax:415-504-1367
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV3094207R00000X
GA076428207R00000X
SC39365207R00000X
NH17640207R00000X
NC2015-01456207R00000X
ARE-10216207R00000X
DCDO034585207R00000X
MEDO3330207R00000X
MO2022010134207R00000X
TXT6661207R00000X
KY04021207R00000X
OH34.012387207R00000X
TN3051207R00000X
VA0102204671207R00000X
NY200935207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01807345Medicaid
NY01807345Medicaid
NYG38562Medicare UPIN