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NPI Code Detail

MEDICARE: AMY KETCHAM HWANG MD

MEDICARE:   AMY KETCHAM HWANG  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
1207Y00000XOtolaryngology PhysicianA123578CA
2207Y00000XOtolaryngology PhysicianMD457154PA
3207Y00000XOtolaryngology Physician28326WV
4207Y00000XOtolaryngology Physician68440MN
5207Y00000XOtolaryngology PhysicianU2076TX

General Provider Information

NPI Number : 1780846279
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY KETCHAM HWANG MD
Provider Business Mailing Address
First Line : 1500 N MESA ST
Second Line :
City : EL PASO
State : TX
Zip : 79902-4019
Country : US
Telephone Number : 915-532-6935
Fax Number :
Provider Business Practice Location Address
First Line : 1500 N MESA ST
Second Line :
City : EL PASO
State : TX
Zip : 79902-4019
Country : US
Telephone Number : 915-532-6935
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2008
Last Update Date : 09/03/2023

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