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EDEN KOO
NPI 1922633163
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since March 09, 2020
1500 E MEDICAL CENTER DR, 3910 TAUBMAN CENTER SPC 5362, ANN ARBOR, MI 48109(734) 936-4998 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 8, 2025, Jul 2, 2025, Dec 9, 2022 and 1 more (4 updates tracked since 2020).

About Eden Koo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDEN KOO (NPI 1922633163) is an individual student in an organized health care education/training program in Ann Arbor, Michigan and active in the NPI registry since March 2020. He maintains a secondary practice location in Honolulu.

NPPES Registry Identity

NPI1922633163
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEDEN KOO
Location Address1500 E MEDICAL CENTER DR, 3910 TAUBMAN CENTER SPC 5362Ann Arbor, MI 48109-5362
Mailing Address1013 Waieli StHonolulu, HI 96821-1242
Phone(734) 936-4998
Sole ProprietorNo
Enumeration DateMarch 9, 2020
Last NPPES UpdateAugust 8, 20254 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
✔ NPI 1922633163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4351053795 (MI), BP10081140 (TX)
1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109
Open in Google Maps ↗

Secondary Practice Location 1

Location 11013 Waieli StHonolulu, HI 96821-1242 · Phone (808) 722-3018

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOKMAN SUNG MD
Pathology (Forensic Pathology)
1500 E MEDICAL CENTER DR, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
ANN ARBOR, MI 48109
Washtenaw County (800) 862-7284
SAMEER DEV SAINI M.D.
Internal Medicine (Gastroenterology)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
KYLE DAVID PERRY MD
Pathology (Cytopathology)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
DR. DAVID ALEXANDER STEWART M.D.
Pediatrics
1500 E MEDICAL CENTER DR, 12TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL ROOM 525
ANN ARBOR, MI 48109
Washtenaw County (734) 763-5302
DR. MICHAEL EDMUND WATSON MD
Pediatrics (Pediatric Infectious Diseases)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
CARRIE KRAEGER PORTER PA-C
Physician Assistant
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-6666
DENISE LYNN BERRY CRNA
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
KETTI SOPHIA PETERSEN MD
Family Medicine (Hospice and Palliative Medicine)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eden Koo's NPI number?

The NPI number for Eden Koo is 1922633163. It was assigned to this individual provider in the NPPES registry on March 9, 2020.

Where is Eden Koo located?

Eden Koo practices at 1500 E Medical Center Dr 3910 Taubman Center Spc 5362, Ann Arbor, MI 48109. The listed phone number is (734) 936-4998.

What is Eden Koo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Eden Koo was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.