Provider Demographics
NPI:1265482020
Name:HUAN, ENG H (MD)
Entity Type:Individual
Prefix:DR
First Name:ENG
Middle Name:H
Last Name:HUAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:200 JOSE FIGUERES AVE
Mailing Address - Street 2:SUITE 430
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1500
Mailing Address - Country:US
Mailing Address - Phone:408-929-6088
Mailing Address - Fax:408-929-6087
Practice Address - Street 1:200 JOSE FIGUERES AVE
Practice Address - Street 2:SUITE 430
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1500
Practice Address - Country:US
Practice Address - Phone:408-929-6088
Practice Address - Fax:408-929-6087
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA36658207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA#73OtherSANTA CLARA IPA
CA00A366580Medicaid
CA05-0215OtherSAN JOSE MED CEN. TAX ID
CA110027446OtherRAILROAD MEDICARE
CA770375452OtherCPA TAX ID NUM
CAA36658OtherCA. PHYS. LIC.
CA62-1763091OtherSAN JOSE TX ID NUM
CAAH1622477OtherDEA
CA00A366580Medicaid
CA770031830OtherTAX ID NUMBER
CA00A366580Medicaid