Taeho Im MD INC

NPI #1053486498 in Modesto, California

Provider Information

NPI Number: 1053486498
Entity Type: Organization
Organization Name: Taeho Im MD INC
Primary Specialty: Anesthesiology
Enumeration Date: Nov 21, 2006
Last Updated: Mar 25, 2024

Practice Location

Address: 1700 COFFEE ROAD
City: Modesto
State: California
ZIP Code: 95355
Phone: (209) 526-4500

Authorized Official

Name: TAEHO IM, MD INC
Title: PRESIDENT
Phone: (209) 480-3450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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