Provider Demographics
NPI:1578623732
Name:HARRY H HUANG MD PA
Entity Type:Organization
Organization Name:HARRY H HUANG MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:HUO-TSIN
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-897-3322
Mailing Address - Street 1:5630 SHIELDS DR
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-3572
Mailing Address - Country:US
Mailing Address - Phone:301-897-3322
Mailing Address - Fax:301-897-3292
Practice Address - Street 1:5630 SHIELDS DR
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-3572
Practice Address - Country:US
Practice Address - Phone:301-897-3322
Practice Address - Fax:301-897-3292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD180023691OtherRAILROAD MEDICARE
MDC61879Medicare UPIN