Provider Demographics
NPI:1508929506
Name:RYU, HYUNG SUK (MD)
Entity Type:Individual
Prefix:
First Name:HYUNG
Middle Name:SUK
Last Name:RYU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:227 SAINT PAUL PL
Mailing Address - Street 2:SIXTH FLOOR
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-2001
Mailing Address - Country:US
Mailing Address - Phone:410-332-9200
Mailing Address - Fax:410-783-5880
Practice Address - Street 1:227 SAINT PAUL PL
Practice Address - Street 2:SIXTH FLOOR
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-2001
Practice Address - Country:US
Practice Address - Phone:410-332-9200
Practice Address - Fax:410-783-5880
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD68702207VX0201X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN133077OtherUCARE
MN2443612OtherARAZ
MN774T0RYOtherBCBS
MN1047058OtherPREFERRED ONE