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NPI Code Detail

MEDICARE: DR. ALLAN VEH TUC WANG MD, PHD

MEDICARE: DR. ALLAN VEH TUC WANG MD, PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207K00000XAllergy & Immunology Physician9287HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2D0204000OTHERHIHAWAII BCBS PROVIDER ID
3C0204002OTHERHIHMSA / BCBS HILO OFFICE #
4E0204007OTHERHIHMSA / BCBS HNL OFFICE #
5F0204005OTHERHIHMSA / BCBS KAMUELA #

General Provider Information

NPI Number : 1013911924
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALLAN VEH TUC WANG MD, PHD
Provider Business Mailing Address
First Line : 75-166 KALANI ST
Second Line : SUITE 204
City : KAILUA KONA
State : HI
Zip : 96740-1857
Country : US
Telephone Number : 808-329-9264
Fax Number : 808-329-9260
Provider Business Practice Location Address
First Line : 75-166 KALANI ST
Second Line : SUITE 204
City : KAILUA KONA
State : HI
Zip : 96740-1857
Country : US
Telephone Number : 808-329-9264
Fax Number : 808-329-9260
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 02/28/2008

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