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NPI Code Detail

MEDICARE: KEVIN DIAO MD

MEDICARE: KEVIN DIAO 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
12085R0001XRadiation Oncology PhysicianBP10066528TX

General Provider Information

NPI Number : 1578067260
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN DIAO MD
Provider Business Mailing Address
First Line : 1400 PRESSLER ST UNIT 1422
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3722
Country : US
Telephone Number : 713-792-2534
Fax Number :
Provider Business Practice Location Address
First Line : 12393 WASHINGTON BLVD
Second Line :
City : WHITTIER
State : CA
Zip : 90606-2502
Country : US
Telephone Number : 562-696-5964
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2018
Last Update Date : 07/16/2024

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