Brandon Hyunmo Koo, MD is a student in an organized health care education training program in Providence, RI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Brandon Hyunmo Koo, MD NPI is 1104400373. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
593 EDDY ST
PROVIDENCE, RI
ZIP 02903-923
Phone: (401) 444-8809
The NPI 1104400373 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/12/2021 and was last updated on 6/13/2022.