Healthcare Provider Details

I. General information

NPI: 1619339298
Provider Name (Legal Business Name): ANDREW JOSEPH KUEI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2016
Last Update Date: 08/17/2022
Certification Date: 08/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 W CHARLESTON BLVD SUITE 230
LAS VEGAS NV
89102-2325
US

IV. Provider business mailing address

713 W DUARTE RD UNIT G-865
ARCADIA CA
91007-7564
US

V. Phone/Fax

Practice location:
  • Phone: 702-671-2341
  • Fax: 702-671-2376
Mailing address:
  • Phone: 626-282-0296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberA176216
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: