Provider Demographics
NPI:1912271644
Name:JIUNN H. HO, M.D. PC
Entity Type:Organization
Organization Name:JIUNN H. HO, M.D. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:JIUNN
Authorized Official - Middle Name:H
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-476-1442
Mailing Address - Street 1:PO BOX 681
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38019-0681
Mailing Address - Country:US
Mailing Address - Phone:901-476-1442
Mailing Address - Fax:901-476-9767
Practice Address - Street 1:1995 HIGHWAY 51 S STE 201
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:TN
Practice Address - Zip Code:38019-3655
Practice Address - Country:US
Practice Address - Phone:901-476-1442
Practice Address - Fax:901-476-9767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-27
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD10447207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNB59297Medicare UPIN
TN3162868Medicare PIN