Provider Demographics
NPI:1699875385
Name:SUH, STEVEN SUNG-HO (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:SUNG-HO
Last Name:SUH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1100 N 19TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-2344
Mailing Address - Country:US
Mailing Address - Phone:325-670-5570
Mailing Address - Fax:325-670-4773
Practice Address - Street 1:1100 N 19TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-2344
Practice Address - Country:US
Practice Address - Phone:325-670-5570
Practice Address - Fax:325-670-4773
Is Sole Proprietor?:No
Enumeration Date:2006-09-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3334207R00000X
CAA74945207R00000X
MO2016028746208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A503680Medicaid
0-535-169-7OtherECFMG
BS7559973OtherDEA NUMBER
CAH39249Medicare UPIN