| Doctor Name: | KYUNG HEUP AHN |
| NPI Number: | 1750565016 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 045620 |
| Business Practice Address: | 184 Liberty St Yale Psychiatric Hospital New Haven, CT - 065191625 |
| Business Phone Number: | 2036889907 |
| Business Fax Number: | |
| Mailing Address: | 107 John St, Suite 3a SOUTHPORT |
| State: | CT |
| Postal Code: | 068901466 |
| Phone Number: | 2034294392 |
| Fax Number: | 8447045841 |
| NPI Enumeration Date: | 12/21/2007 |
| NPI Last Update Date: | 10/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 045620 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |