Kevin Tae Il Whang in Modesto - Diagnostic Radiology

Kevin Tae Il Whang - NPI 1063460301

Kevin Tae Il Whang is a Diagnostic Radiology in Modesto, California. Kevin Tae Il Whang practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Kevin Tae Il Whang is 1063460301. The last update date is 2021-12-22.

Kevin Tae Il Whang's current location address is 101 Park Ave, Modesto, California. You can contact this provider via phone number 2095774444 and fax number 2095272069. The mailing address for Kevin Tae Il Whang is 101 Park Ave, Modesto, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin Tae Il Whang
Address 101 Park Ave, Modesto, California
Phone Number 2095774444
Fax Number 2095272069
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1063460301
Provider Enumeration Date 2006-05-05
Last Updated Date 2021-12-22

Provider Mailing Address Detail

Address 101 Park Ave
City Modesto
State California (CA)
Post Code 953540556
Phone Number 2095774444
Fax Number 2095272069

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No A65815
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A658150 CA --

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FAQs about Kevin Tae Il Whang

What is the unique provider identifier assigned to Kevin Tae Il Whang?

The Kevin Tae Il Whang has been issued the NPI (National Provider Identifier) 1063460301 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Kevin Tae Il Whang is physically located?

The Kevin Tae Il Whang is situated at the following address: 101 Park Ave, Modesto, CA 953540556.

What is the Kevin Tae Il Whang's area of specialization and corresponding taxonomy classification?

The Kevin Tae Il Whang's specialty field is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their specialties.

On what date was the 1063460301 assigned to Kevin Tae Il Whang?

The Kevin Tae Il Whang was issued its 1063460301 on 2006-05-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Kevin Tae Il Whang, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kevin Tae Il Whang, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-12-22.

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