Provider Demographics
NPI:1174670806
Name:TO, KING WAI (MD)
Entity Type:Individual
Prefix:
First Name:KING
Middle Name:WAI
Last Name:TO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:ONE HOPPIN STREET
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PROVIDENCE
Mailing Address - State:PR
Mailing Address - Zip Code:02903-4141
Mailing Address - Country:US
Mailing Address - Phone:401-831-4592
Mailing Address - Fax:401-831-4643
Practice Address - Street 1:ONE HOPPIN STREET
Practice Address - Street 2:SUITE 202
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4141
Practice Address - Country:US
Practice Address - Phone:401-831-4592
Practice Address - Fax:401-831-4643
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2008-06-12
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Provider Licenses
StateLicense IDTaxonomies
RI7985207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI15679RIHOtherHARVARD PILGRIM HEALTHCARE
RI2503OtherNEIGHBORHOOD HEALTH PLAN OF RI
RI20082OtherBCBS OF RI
RI203904OtherBCBS - BLUE CHIP
RI180022235OtherRAILROAD MEDICARE
RI9020082Medicaid
RI203904OtherBCBS - BLUE CHIP
RI180022235OtherRAILROAD MEDICARE