Provider Demographics
NPI:1821018623
Name:KAO-SEDA, WINIFRED W (MD)
Entity Type:Individual
Prefix:DR
First Name:WINIFRED
Middle Name:W
Last Name:KAO-SEDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:WINIFRED
Other - Middle Name:W
Other - Last Name:KAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 GRANITE POINT DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1986
Mailing Address - Country:US
Mailing Address - Phone:610-376-3738
Mailing Address - Fax:610-376-4780
Practice Address - Street 1:1 GRANITE POINT DR
Practice Address - Street 2:SUITE 300
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1986
Practice Address - Country:US
Practice Address - Phone:610-376-3738
Practice Address - Fax:610-376-4780
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD044444E207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012680850003Medicaid
PA674035EGUMedicare PIN
PAE92667Medicare UPIN