Healthcare Provider Details

I. General information

NPI: 1699810655
Provider Name (Legal Business Name): BILLY P HUANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 04/15/2021
Certification Date: 04/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W 8TH AVE
SPOKANE WA
99204-2307
US

IV. Provider business mailing address

322 W NORTH RIVER DR RIVERFRONT MEDICAL CENTER
SPOKANE WA
99201-3208
US

V. Phone/Fax

Practice location:
  • Phone: 509-456-3357
  • Fax: 509-638-0216
Mailing address:
  • Phone: 509-324-6464
  • Fax: 509-241-2056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD00042855
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: