Richard Ahn, M.D.
Individual provider Active NPI Specialist · Tomah, WI
NPI 1679678015 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679678015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 21215 (WI)
- Practice address
- 500 W.Veterans Street
Tomah, WI 54660-1760 - Phone
- (608) 372-3971
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21215 | WI | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 21215 | WI | Yes |
Addresses
Primary practice location
500 W.Veterans Street
Tomah, WI 54660-1760
Mailing address
1000 Charles Dr
Tomah, WI 54660-1760
Other providers in Tomah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.