Yoon Mo Myung MD LLC
Organization Active NPI Ophthalmology Physician · Raven, VA
NPI 1043418783 · NPPES record last updated May 6, 2009
Key facts
- NPI
- 1043418783
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 35.086322 (OH)
- Legal business name
- YOON MO MYUNG MD LLC
- Practice address
- 5453 Governor C Peery Highway
Raven, VA 24639 - Phone
- (740) 645-7881
- NPI assigned
- Jul 3, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Yoon Mo Myung, MD
- Title
- Owner
- Phone
- (740) 645-7881
Practitioners 1
-
Prafulla N. Patel, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | 35.086322 | OH | Yes |
Addresses
Primary practice location
5453 Governor C Peery Highway
Raven, VA 24639
Mailing address
PO Box 215
Doran, VA 24612-0215
Phone (740) 645-7881
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2634180 | Medicaid | OH |
Other providers in Raven, VA
- Leonard Daniel Harris
- Ashley Brooke Hurley
- Hurley'S Phoenix Support Center
- Legacy Ambulance LLC
- Richlands Pharmacy Associates Inc
All providers in Raven, VA · Ophthalmology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.