MEDICARE: HONG CUI 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
1	207Q00000X	Family Medicine Physician	70393	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	099471012	OTHER	NE	MEDICARE PTAN

Other Identifiers

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

General Provider Information

NPI Number	:	1316038664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HONG CUI M.D.

Provider Business Mailing Address
First Line	:	2500 W UTOPIA RD STE 100
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85027-4172
Country	:	US
Telephone Number	:	623-683-4462
Fax Number	:	623-683-4963

Provider Business Practice Location Address
First Line	:	18404 N TATUM BLVD STE 101C
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-1511
Country	:	US
Telephone Number	:	602-485-7475
Fax Number	:	602-485-7450

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	11/01/2023

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Directions to “ HONG CUI M.D.” Practice Location

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