Roh, Daeyoung D
Roh, Daeyoung D is an sole proprietor health care provider with primary practice located at 15492 E Prentice Dr , Centennial CO 80015-4267. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Roh, Daeyoung D can be contacted via phone (817) 296-9180.Contact Information
Primary practice address
15492 E Prentice Dr
Centennial CO 80015-4267
Phone: (817) 296-9180
Fax: (817) 421-6252
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DR.0051910 | Colorado |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G62251 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M3075 | Texas |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | M3075 | Texas |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | G62251 | California |
Profile Details
| NPI number | 1619920675 |
|---|---|
| LBN Legal business name | Roh, Daeyoung D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2006 |
| Last updated | Oct 19th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619920675 | NPPES |
| Texas | MEDICAID | 179849805 | |
| Texas | MEDICAID | 179849802 | |
| Texas | MEDICAID | 179849803 | |
| Texas | MEDICAID | 179849801 | |
| Texas | Other | 8S5106 | |
| Texas | Other | 63503514 |
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