Provider Demographics
NPI:1669401329
Name:KUO, HWANG R (MD)
Entity type:Individual
Prefix:DR
First Name:HWANG
Middle Name:R
Last Name:KUO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4053 TAYLOR RD
Mailing Address - Street 2:SUITE K
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-5537
Mailing Address - Country:US
Mailing Address - Phone:757-638-0085
Mailing Address - Fax:757-686-3025
Practice Address - Street 1:616 HAPPY ACRES RD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23323-2110
Practice Address - Country:US
Practice Address - Phone:757-485-5027
Practice Address - Fax:757-485-9163
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101022303207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA072991OtherANTHEM
VAB06762Medicare UPIN