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NPI Code Detail

MEDICARE: DR. MENG KONG KHAUV MD

MEDICARE:  DR. MENG KONG KHAUV  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
1207R00000XInternal Medicine PhysicianA61335CA

General Provider Information

NPI Number : 1487615878
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MENG KONG KHAUV MD
Provider Business Mailing Address
First Line : 1404 W SANTA MARIA WAY
Second Line :
City : YUMA
State : AZ
Zip : 85364-4400
Country : US
Telephone Number : 928-276-3870
Fax Number :
Provider Business Practice Location Address
First Line : 2555 E GILA RIDGE RD
Second Line :
City : YUMA
State : AZ
Zip : 85365-2240
Country : US
Telephone Number : 800-470-8262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2006
Last Update Date : 07/29/2009

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Directions to “ DR. MENG KONG KHAUV MD” Practice Location

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