Provider Demographics
NPI:1740576131
Name:JUANG, KUO-SHENG (MD)
Entity Type:Individual
Prefix:DR
First Name:KUO-SHENG
Middle Name:
Last Name:JUANG
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 1:6727 213TH ST
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11364-2509
Mailing Address - Country:US
Mailing Address - Phone:718-631-3367
Mailing Address - Fax:718-428-5198
Practice Address - Street 1:6727 213TH ST
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11364-2509
Practice Address - Country:US
Practice Address - Phone:718-631-3367
Practice Address - Fax:718-428-5198
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY119162-12085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology