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NPI Code Detail

MEDICARE: KAI WANG

MEDICARE:   KAI  WANG
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
1207P00000XEmergency Medicine Physician281185NY
2207Q00000XFamily Medicine PhysicianMI
3207R00000XInternal Medicine PhysicianMI

General Provider Information

NPI Number : 1881993111
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAI WANG
Provider Business Mailing Address
First Line : 4802 TENTH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-1971
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4802 TENTH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-1971
Country : US
Telephone Number : 315-313-4414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2011
Last Update Date : 07/21/2022

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Directions to “ KAI WANG ” Practice Location

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