MEDICARE: DR. WILLIAM KUO 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	208800000X	Urology Physician	29306	AZ

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

General Provider Information

NPI Number	:	1760487706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM KUO M.D.

Provider Business Mailing Address
First Line	:	4811 E GRANT RD STE 261
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-2776
Country	:	US
Telephone Number	:	520-618-1010
Fax Number	:	520-784-7040

Provider Business Practice Location Address
First Line	:	4790 S CALLE SANTA CRUZ
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85714-0007
Country	:	US
Telephone Number	:	520-777-2277
Fax Number	:

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	04/23/2025

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