Eden Koo, is a
Student In An Organized Health Care Education/training Program physician based in Ann Arbor, Michigan. Eden Koo is licensed to practice in * (Not Available) (license number ) and his current practice location is 1500 E Medical Center Dr, 3910 Taubman Center Spc 5362, Ann Arbor, Michigan. He can be reached at his office (for appointments etc.) via phone at
(808) 722-3018.
NPI number for Eden Koo is 1922633163 and his current mailing address is 1013 Waieli St, Honolulu, Hawaii. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922633163.
Physician's Profile
| Full Name | Eden Koo |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1500 E Medical Center Dr, Ann Arbor, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922633163
- Provider Enumeration Date: 03/09/2020
- Last Update Date: 07/02/2025
Medical Identifiers
Medical identifiers for Eden Koo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922633163 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 4351053795 (Michigan) | Secondary |
| 207R00000X | Internal Medicine | BP10081140 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eden Koo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Eden Koo,
1013 Waieli St,
Honolulu, HI 96821-1242
Ph: () - | Eden Koo,
1500 E Medical Center Dr, 3910 Taubman Center Spc 5362,
Ann Arbor, MI 48109-5362
Ph: (808) 722-3018 |
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