Donghwa Baek, - Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Donghwa Baek, is a Student In An Organized Health Care Education/training Program physician based in Philadelphia, Pennsylvania. Donghwa Baek is licensed to practice in Pennsylvania (license number MT229978) and his current practice location is 3400 Spruce St, Philadelphia, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at (215) 316-5151.

NPI number for Donghwa Baek is 1013402718 and his current mailing address is 6550 Fannin St, Houston, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013402718.

Contact Information

Donghwa Baek,
3400 Spruce St,
Philadelphia, PA 19104-4238
(215) 316-5151
Not Available



Physician's Profile

Full NameDonghwa Baek
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location3400 Spruce St, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013402718
  • Provider Enumeration Date: 06/25/2018
  • Last Update Date: 02/03/2024

Medical Identifiers

Medical identifiers for Donghwa Baek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013402718NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology U1232 (Texas)Secondary
390200000XStudent In An Organized Health Care Education/training Program BP10064572 (Texas)Secondary
390200000XStudent In An Organized Health Care Education/training Program MT229978 (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Donghwa Baek is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Donghwa Baek,
6550 Fannin St,
Houston, TX 77030-2717

Ph: (713) 441-3490
Donghwa Baek,
3400 Spruce St,
Philadelphia, PA 19104-4238

Ph: (215) 316-5151

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