Provider Demographics
NPI:1790773760
Name:HUANG, DAVID TA-WEI (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:TA-WEI
Last Name:HUANG
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 1:8881 NW 18TH TER
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-2624
Mailing Address - Country:US
Mailing Address - Phone:305-704-3910
Mailing Address - Fax:305-704-3916
Practice Address - Street 1:8881 NW 18TH TER
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-2624
Practice Address - Country:US
Practice Address - Phone:305-704-3910
Practice Address - Fax:305-704-3916
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00804012085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL35622Medicare PIN
FLF28001Medicare UPIN