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1316441694

NPI Code Detail

MEDICARE: BENJAMIN CHUN-BANG WEIA MD

MEDICARE: BENJAMIN CHUN-BANG WEIA 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	207R00000X	Internal Medicine Physician	V9995	TX
2	207R00000X	Internal Medicine Physician	A163611	CA
3	207P00000X	Emergency Medicine Physician	A163611	CA

General Provider Information

NPI Number	:	1316441694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENJAMIN CHUN-BANG WEIA MD

Provider Business Mailing Address
First Line	:	325 DISTEL CIR
Second Line	:
City	:	LOS ALTOS
State	:	CA
Zip	:	94022-1408
Country	:	US
Telephone Number	:	650-696-4427
Fax Number	:

Provider Business Practice Location Address
First Line	:	11511 SHADOW CREEK PKWY
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-7298
Country	:	US
Telephone Number	:	713-442-0000
Fax Number	:

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

Provider Enumeration Date	:	03/21/2018
Last Update Date	:	01/06/2026

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Directions to “ BENJAMIN CHUN-BANG WEIA MD” Practice Location

Language	Start Address	Practice Location

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