Doctor Name: | DO JI PAIK |
NPI Number: | 1871582122 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 01027462 |
Business Practice Address: | 5454 Hohman Ave Hammond, IN - 463201931 |
Business Phone Number: | 2199332006 |
Business Fax Number: | 2197386714 |
Mailing Address: | 55 E 86th Ave, Po Box 10645 MERRILLVILLE |
State: | IN |
Postal Code: | 464106382 |
Phone Number: | 2197691670 |
Fax Number: | 2197386714 |
NPI Enumeration Date: | 10/19/2005 |
NPI Last Update Date: | 01/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 01027462 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |