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NPI Code Detail

MEDICARE: KOCHY Y TANG DO

MEDICARE: KOCHY Y TANG DO
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
1207Q00000XFamily Medicine Physician935NV

General Provider Information

NPI Number : 1902826365
Entity Type Code : Individual
Provider Name (Legal Business Name) : KOCHY Y TANG DO
Provider Business Mailing Address
First Line : PO BOX 230181
Second Line :
City : HENDERSON
State : NV
Zip : 89105-0181
Country : US
Telephone Number : 702-837-1265
Fax Number : 702-837-1706
Provider Business Practice Location Address
First Line : 12300 LAS VEGAS BLVD S
Second Line :
City : HENDERSON
State : NV
Zip : 89044-9506
Country : US
Telephone Number : 702-837-1265
Fax Number : 702-837-1706
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 08/02/2023

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Directions to “ KOCHY Y TANG DO” Practice Location

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