Provider Demographics
NPI:1346330602
Name:LEUNG, ALBERT K (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:K
Last Name:LEUNG
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 2728
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25402-2728
Mailing Address - Country:US
Mailing Address - Phone:304-263-7100
Mailing Address - Fax:304-263-7441
Practice Address - Street 1:323 AIKENS CTR
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25404-6204
Practice Address - Country:US
Practice Address - Phone:304-263-7100
Practice Address - Fax:304-263-7441
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-14
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV17789207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0092854000Medicaid
WVF94058Medicare UPIN
WVLE0767811Medicare ID - Type UnspecifiedSPECIALTY 16