| Dr Hannah Ghong-ju Ahn, MD | |
|
1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | |
| (210) 292-4482 | |
| Not Available |
| Full Name | Dr Hannah Ghong-ju Ahn |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013419076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 31950 (Nebraska) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | A185410 (California) | Primary |
| Entity Name | University Of California San Francisco |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
| Entity Name | Ucsf Medical Group Business Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Hannah Ghong-ju Ahn, MD 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-6255 | Dr Hannah Ghong-ju Ahn, MD 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-4482 |
Kyle James Stevens, DO Radiology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-228-6921 | |
Dr. Christopher James Atkinson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6225 | |
Jennifer Berrie Henning, M.D. Radiology Medicare: Medicare Enrolled Practice Location: Wilford Hall Ambulatory Surgical Center, 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-2931 | |
Charles Nicolas Crain, Radiology Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6255 | |
Steven Robert Hole, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-539-9582 | |
Dr. Kara M Van De Kieft, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 Phone: 210-292-6225 |