ANDREW LEE-WAH KOO MD NPI 1730281668

NPI Information

NPI: 1730281668
Provider Name: ANDREW LEE-WAH KOO, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
1 MEDICAL CENTER DR
LEBANON, NH
ZIP 03756
Phone: (603) 650-5000
Get Directions

Andrew Lee-wah Koo, MD is a child and adolescent psychiatry psychiatry neurology in Lebanon, NH. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Andrew Lee-wah Koo, MD NPI is 1730281668. 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:

1 MEDICAL CENTER DR
LEBANON, NH
ZIP 03756-001
Phone: (603) 650-5000

The NPI 1730281668 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 9/1/2006 and was last updated on 8/18/2023.

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	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	14590	NEW HAMPSHIRE	Yes
2	2084P0800X	Psychiatry & Neurology	Psychiatry	042-0011961	VERMONT	No
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	042-0011961	VERMONT	No

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	1017794	MEDICAID	VERMONT

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: 4/28/2024

NPI Synchronization or Removal

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