Basic Information
Provider Information
NPI: 1659996601
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TIU
FirstName: AARON JOSEPH
MiddleName: KHO
NamePrefix:  
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: SUMMA HEALTH/INTERNAL MEDICINE RESIDENCY
Address2: 525 EAST MARKET ST
City: AKRON
State: OH
PostalCode: 44304
CountryCode: US
TelephoneNumber: 3303753315
FaxNumber: 3303757779
Practice Location
Address1: SUMMA HEALTH/INTERNAL MEDICINE RESIDENCY
Address2: 525 EAST MARKET ST
City: AKRON
State: OH
PostalCode: 44304
CountryCode: US
TelephoneNumber: 3303753315
FaxNumber: 3303757779
Other Information
ProviderEnumerationDate: 06/15/2020
LastUpdateDate: 06/15/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/15/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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