NPI 1194991901 · live from the CMS NPI Registry
Fredrick Sungjae An, DO
Internal Medicine in Olympia, WA. National Provider Identifier 1194991901, active.
NPI record
| NPI | 1194991901 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 413 Lilly Rd Ne, Olympia, WA 98506 |
| Practice phone | 360-491-9480 |
| Enumerated | May 1, 2008 |
| Last updated | March 19, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | DO29350 (OR) |
| Hospitalist | 208M00000X | OP61580368 (WA) |
| Internal Medicine primary | 207R00000X | OP61580368 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.