1447554266 NPI number — DR. ANGELA SU-MEI KOH M.B.B.S., M.R.C.P

Table of content: DR. ANGELA SU-MEI KOH M.B.B.S., M.R.C.P (NPI 1447554266)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447554266 NPI number — DR. ANGELA SU-MEI KOH M.B.B.S., M.R.C.P

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KOH
Provider First Name:
ANGELA SU-MEI
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.B.B.S., M.R.C.P
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447554266
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/08/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
111 CYPRESS ST
Provider Second Line Business Mailing Address:
PROVIDER SERVICES, BRIGHAM WOMEN'S HOSPITAL
Provider Business Mailing Address City Name:
BROOKLINE
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02445-6002
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-582-1231
Provider Business Mailing Address Fax Number:
617-582-1197

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
75 FRANCIS ST
Provider Second Line Business Practice Location Address:
BRIGHAM AND WOMEN'S HOSPITAL
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02115-6110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-732-6290
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/08/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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