Healthcare Provider Details

I. General information

NPI: 1902999188
Provider Name (Legal Business Name): MICHAEL A HUANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2423 FOREST AVE
SAN JOSE CA
95128-1505
US

IV. Provider business mailing address

2423 FOREST AVE
SAN JOSE CA
95128-1505
US

V. Phone/Fax

Practice location:
  • Phone: 408-984-8488
  • Fax: 408-984-2396
Mailing address:
  • Phone: 408-984-8488
  • Fax: 408-984-2396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA37813
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: