MEDICARE: DOU HUANG 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
1	207RA0001X	Advanced Heart Failure and Transplant Cardiology Physician	339035	NY
2	207R00000X	Internal Medicine Physician	275544	MA

General Provider Information

NPI Number	:	1316430242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOU HUANG MD

Provider Business Mailing Address
First Line	:	3400 BAINBRIDGE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10467-2404
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 BAINBRIDGE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10467-2404
Country	:	US
Telephone Number	:	718-920-5959
Fax Number	:

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

Provider Enumeration Date	:	06/14/2018
Last Update Date	:	03/19/2026

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Directions to “ DOU HUANG MD” Practice Location

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