MEDICARE: DR. MICHAEL A HUANG 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
1	207V00000X	Obstetrics & Gynecology Physician	A37813	CA

General Provider Information

NPI Number	:	1902999188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL A HUANG MD

Provider Business Mailing Address
First Line	:	2423 FOREST AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-1505
Country	:	US
Telephone Number	:	408-984-8488
Fax Number	:	408-984-2396

Provider Business Practice Location Address
First Line	:	2423 FOREST AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-1505
Country	:	US
Telephone Number	:	408-984-8488
Fax Number	:	408-984-2396

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

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	07/08/2007

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