Whang, Kevin Tae Il

Whang, Kevin Tae Il is an individual health care provider with primary practice located at 1524 Mchenry Ave , Modesto CA 95350-4500. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Whang, Kevin Tae Il can be contacted via phone (209) 577-4444.

Contact Information

Primary practice address
1524 Mchenry Ave Modesto CA 95350-4500
Phone: (209) 577-4444
Fax: (209) 527-2069
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X A65815 California
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X A65815 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A65815 California

Profile Details

NPI number 1063460301
LBN Legal business name Whang, Kevin Tae Il
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Dec 22nd, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063460301 NPPES
California MEDICAID 00A658150

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