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Physician Compare National (NPI:1417901224)

HEALTHCARE PROVIDER: TANG YONG KUANG MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1417901224
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0941201826
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20070119000089
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name KUANG
Individual professional last name
Provider First Name TANG
Individual professional first name
Provider Middle Name YONG
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1988
Individual professional's medical school graduation year
Primary Specialty SLEEP MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 CRITICAL CARE (INTENSIVISTS)
First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2 INTERNAL MEDICINE
Second secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 3 PULMONARY DISEASE
Third secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE, PULMONARY DISEASE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 4690 MCDERMOTT RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 188
Group Practice or individual's line 2 address
City PLANO
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 750240024
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 670082
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 450853
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO
Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment Y

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