Kwan, Tak W.
Kwan, Tak W. is an sole proprietor health care provider with primary practice located at 139 Centre St Suite 307, New York NY 10013-4408. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Kwan, Tak W. can be contacted via phone (212) 334-3507.Contact Information
Primary practice address
139 Centre St Suite 307
New York NY 10013-4408
Phone: (212) 334-3507
Fax: (212) 334-4728
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 168098 | New York |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 168098 | New York |
Profile Details
NPI number | 1639130925 |
---|---|
LBN Legal business name | Kwan, Tak W. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 28th, 2006 |
Last updated | Nov 20th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639130925 | NPPES |
New York | Other | WEJ461 | MEDICARE GROUP ID # |
New York | MEDICAID | 01611545 | MEDICARE GROUP ID # |
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