Ahn, Sarah Park

Ahn, Sarah Park is an sole proprietor health care provider with primary practice located at 4611 E Shea Blvd Ste 160 , Phoenix AZ 85028. She recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Hospitals / General Acute Care Hospital, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Ahn, Sarah Park can be contacted via phone (480) 705-9920.

Contact Information

Primary practice address
4611 E Shea Blvd Ste 160 Phoenix AZ 85028
Phone: (480) 705-9920
Fax: (888) 872-0466
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E5336 California
Hospitals / General Acute Care Hospital 282N00000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X POD-000914 Arizona

Profile Details

NPI number 1306252929
LBN Legal business name Ahn, Sarah Park
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2014
Last updated Nov 23rd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306252929 NPPES
Arizona MEDICAID 522162

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