| Kaijun Huang MD PLLC | |
|
13620 Maple Ave Ste C502 Flushing NY 11355-5166 | |
| (516) 407-0401 | |
| Not Available |
| Full Name | Kaijun Huang MD PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 13620 Maple Ave Ste C502, Flushing, New York |
| Authorized Official Name and Position | Kaijun Huang (OWNER) |
| Authorized Official Contact | 5164070401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaijun Huang MD PLLC 13620 Maple Ave Ste C502 Flushing NY 11355-5166 Ph: (516) 407-0401 | Kaijun Huang MD PLLC 13620 Maple Ave Ste C502 Flushing NY 11355-5166 Ph: (516) 407-0401 |
| NPI Number | 1275376881 |
|---|---|
| Provider Enumeration Date | 06/13/2024 |
| Last Update Date | 09/06/2024 |
| Certification Date | 09/06/2024 |
| Medicare PECOS PAC ID | 0941744882 |
|---|---|
| Medicare Enrollment ID | O20240702001980 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275376881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Kaijun Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043622814 PECOS PAC ID: 1951646199 Enrollment ID: I20190326000912 |
| Provider Name | Yung Chu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528454667 PECOS PAC ID: 5193133387 Enrollment ID: I20210428002364 |
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