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NPI Code Detail

MEDICARE: DR. RAYMOND KW LEUNG MD

MEDICARE: DR. RAYMOND KW LEUNG MD
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
1208000000XPediatrics PhysicianMD057480LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013953496
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAYMOND KW LEUNG MD
Provider Business Mailing Address
First Line : 765 LIBERTY ST
Second Line : SUITE 111
City : MEADVILLE
State : PA
Zip : 16335-2566
Country : US
Telephone Number : 814-336-6384
Fax Number : 814-336-1372
Provider Business Practice Location Address
First Line : 765 LIBERTY ST STE 111
Second Line :
City : MEADVILLE
State : PA
Zip : 16335-2567
Country : US
Telephone Number : 814-336-6384
Fax Number : 814-336-1372
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2006
Last Update Date : 11/30/2022

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Directions to “ DR. RAYMOND KW LEUNG MD” Practice Location

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