SUK S LEE M.D. INC NPI 1992872634

NPI Information

NPI: 1992872634
Provider Name: SUK S LEE M.D. INC
Classification: Radiology - 2085N0904X
Entity Type: Organization

Specialization: Nuclear Radiology

Address:
1400 E 9TH ST
ROCHESTER, IN
ZIP 46975
Phone: (574) 224-1156
Get Directions

SUK S LEE M.D. INC is a nuclear radiology radiology in Rochester, IN. The provider is a radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. SUK S LEE M.D. INC NPI is 1992872634. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1400 E 9TH ST
ROCHESTER, IN
ZIP 46975-931
Phone: (574) 224-1156

The provider's authorized official is Suk S Lee .
The authorized official title is President and has the following contact phone number (219) 322-7042.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085N0904X	Radiology	Nuclear Radiology	1030530	INDIANA	Yes
2	2085R0202X	Radiology	Diagnostic Radiology	01030530	INDIANA	X
3	2085N0904X	Radiology	Nuclear Radiology		ILLINOIS	X
4	2085R0202X	Radiology	Diagnostic Radiology		ILLINOIS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5830160036	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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