Provider Demographics
NPI:1275585317
Name:KWOK, HUNG-CHI (MD)
Entity Type:Individual
Prefix:DR
First Name:HUNG-CHI
Middle Name:
Last Name:KWOK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5538
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93755-5538
Mailing Address - Country:US
Mailing Address - Phone:559-436-1000
Mailing Address - Fax:559-354-4235
Practice Address - Street 1:1 HOSPITAL DR SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6455
Practice Address - Country:US
Practice Address - Phone:256-880-4187
Practice Address - Fax:256-880-4797
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00025863207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-21971OtherBC BS HOSPITAL BASED CRNA
AL051554887Medicaid
AL515-30886OtherBCBS PHYSICIAN BASED CRNA
ALP00148817OtherRAILROAD MEDICARE
AK051554887Medicare ID - Type UnspecifiedMEDICARE