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NPI Code Detail

MEDICARE: DR. KEVIN CHAO WANG MD

MEDICARE: DR. KEVIN CHAO WANG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XX0005XSports Medicine (Orthopaedic Surgery) PhysicianME169420FL

General Provider Information

NPI Number : 1467844571
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN CHAO WANG MD
Provider Business Mailing Address
First Line : 862 W NEWPORT AVE
Second Line : UNIT 3
City : CHICAGO
State : IL
Zip : 60657-2384
Country : US
Telephone Number : 317-490-5974
Fax Number :
Provider Business Practice Location Address
First Line : 6050 W 20TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33016-2605
Country : US
Telephone Number : 786-584-5555
Fax Number : 786-584-5050
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2015
Last Update Date : 10/14/2024

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Directions to “ DR. KEVIN CHAO WANG MD” Practice Location

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