Provider Demographics
NPI:1972705440
Name:HUH, SEUNG YOUNG (MD)
Entity Type:Individual
Prefix:
First Name:SEUNG YOUNG
Middle Name:
Last Name:HUH
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 1:2-8-9-101 SAKURAYAMA
Mailing Address - Street 2:
Mailing Address - City:ZUSHI
Mailing Address - State:KANAGAWA
Mailing Address - Zip Code:2490005
Mailing Address - Country:JP
Mailing Address - Phone:8146-897-0825
Mailing Address - Fax:8146-897-0825
Practice Address - Street 1:USNH YOKOSUKA
Practice Address - Street 2:PSC 475, BOX 1
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96350-1600
Practice Address - Country:US
Practice Address - Phone:01181616-043-7144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
IA37381207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program