Lee, Ho Kyu

Lee, Ho Kyu is an individual health care provider with primary practice located at 4201 Saint Antoine St Drh 3L-8, Detroit MI 48201-2153. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Lee, Ho Kyu can be contacted via phone (313) 745-3430.

Contact Information

Primary practice address
4201 Saint Antoine St Drh 3L-8 Detroit MI 48201-2153
Phone: (313) 745-3430
Fax: (313) 577-8600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X SP-158 Iowa
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301091185 Michigan

Profile Details

NPI number 1528059664
LBN Legal business name Lee, Ho Kyu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated May 4th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528059664 NPPES
Iowa MEDICAID 0439190
Iowa Other 36327

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