Kenneth W Mak is a Otolaryngology in Modesto, California. Kenneth W Mak practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Kenneth W Mak is 1427007798. The last update date is 2021-12-21.
Kenneth W Mak's current location address is 1541 Florida Ave, Modesto, California. You can contact this provider via phone number 2095773388 and fax number 2095230764. The mailing address for Kenneth W Mak is 1541 Florida Ave, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth W Mak |
|---|---|
| Address | 1541 Florida Ave, Modesto, California |
| Phone Number | 2095773388 |
| Fax Number | 2095230764 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1427007798 |
|---|---|
| Provider Enumeration Date | 2006-05-06 |
| Last Updated Date | 2021-12-21 |
Provider Mailing Address Detail
| Address | 1541 Florida Ave |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953504429 |
| Phone Number | 2095773388 |
| Fax Number | 2095230764 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | A55527 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A555270 | CA | -- | |
| CD069A | CA | GROUP MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth W Mak by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth W Mak has been assigned the NPI (National Provider Identifier) 1427007798. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Kenneth W Mak's physical address?
The Kenneth W Mak is physically located at 1541 Florida Ave, in the city of Modesto, CA, with the postal code 953504429.
What is Kenneth W Mak's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kenneth W Mak is Otolaryngology, and the corresponding taxonomy classification code for this specialized field is 207Y00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1427007798 to Kenneth W Mak?
The Kenneth W Mak received its 1427007798 assignment from the Centers for Medicare & Medicaid Services on 2006-05-06.
When was the information related to Kenneth W Mak most recently updated or refreshed?
The details pertaining to the Kenneth W Mak, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-12-21.
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