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NPI Code Detail

MEDICARE: TINA CHUNG-TING HUANG M.D.

MEDICARE: TINA CHUNG-TING HUANG M.D.
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
1207Y00000XOtolaryngology Physician4396MN
2207YP0228XPediatric Otolaryngology Physician43962MN
3207YX0901XOtology & Neurotology Physician43962MN

General Provider Information

NPI Number : 1104867316
Entity Type Code : Individual
Provider Name (Legal Business Name) : TINA CHUNG-TING HUANG M.D.
Provider Business Mailing Address
First Line : 420 DELAWARE ST SE
Second Line : UNIVERSITY OF MINNESOTA PHYSICIANS
City : MINNEAPOLIS
State : MN
Zip : 55455-0341
Country : US
Telephone Number : 612-626-5900
Fax Number :
Provider Business Practice Location Address
First Line : 420 DELAWARE ST SE
Second Line : UNIVERSITY OF MINNESOTA PHYSICIANS
City : MINNEAPOLIS
State : MN
Zip : 55455-0341
Country : US
Telephone Number : 612-626-5900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 10/26/2012

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