Provider Demographics
NPI:1467444687
Name:AHN, SEI HYUN (MD)
Entity Type:Individual
Prefix:MR
First Name:SEI
Middle Name:HYUN
Last Name:AHN
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 1:2601 ANNAND DR
Mailing Address - Street 2:14 HERITAGE PROF PLAZA
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-3719
Mailing Address - Country:US
Mailing Address - Phone:302-633-9049
Mailing Address - Fax:302-633-9058
Practice Address - Street 1:2601 ANNAND DR
Practice Address - Street 2:14 HERITAGE PROF PLAZA
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-3719
Practice Address - Country:US
Practice Address - Phone:302-633-9049
Practice Address - Fax:302-633-9058
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0001503207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000603102Medicaid
D01134Medicare UPIN
123965Medicare ID - Type Unspecified