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Physician Compare National (NPI:1720043151)

HEALTHCARE PROVIDER: WAYNE W 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 1720043151
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2062457187
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20060811000342
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 WAYNE
Individual professional first name
Provider Middle Name WEI
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 STANFORD UNIVERSITY SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1999
Individual professional's medical school graduation year
Primary Specialty UROLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 ENDOCRINOLOGY
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties ENDOCRINOLOGY
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 8300 CARMEL AVE NE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 303
Group Practice or individual's line 2 address
City ALBUQUERQUE
Group Practice or individual's city
State NM
Group Practice or individual's state
Zip Code 871223147
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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