Provider Demographics
NPI:1609525062
Name:PAEK, JOSHUA HYUN-KI (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:HYUN-KI
Last Name:PAEK
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 1:211 LIBERTY AVE APT 114
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-6865
Mailing Address - Country:US
Mailing Address - Phone:214-680-2527
Mailing Address - Fax:
Practice Address - Street 1:1336 EDMONTON DR
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75077-2949
Practice Address - Country:US
Practice Address - Phone:214-680-2527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-22
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program