Provider Demographics
NPI:1184326274
Name:CHUANG, MICHAEL KI (DO)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:KI
Last Name:CHUANG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E ROMANA ST APT 574
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32502-5873
Mailing Address - Country:US
Mailing Address - Phone:856-341-3774
Mailing Address - Fax:
Practice Address - Street 1:101 E ROMANA ST APT 574
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32502-5873
Practice Address - Country:US
Practice Address - Phone:856-341-3774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program