| Michael J Huang Md Inc | |
|
1301 Secret Ravine Pkwy Suite 240 Roseville CA 95661-3102 | |
| (916) 472-6454 | |
| (916) 755-4981 |
| Full Name | Michael J Huang Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1301 Secret Ravine Pkwy, Roseville, California |
| Authorized Official Name and Position | Michael J Huang (PRESIDENT/OWNER) |
| Authorized Official Contact | 9164726454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Huang Md Inc 1301 Secret Ravine Pkwy Suite 240 Roseville CA 95661-3102 Ph: (916) 472-6454 | Michael J Huang Md Inc 1301 Secret Ravine Pkwy Suite 240 Roseville CA 95661-3102 Ph: (916) 472-6454 |
| NPI Number | 1912446279 |
|---|---|
| Provider Enumeration Date | 02/20/2017 |
| Last Update Date | 02/20/2017 |
| Medicare PECOS PAC ID | 8224313770 |
|---|---|
| Medicare Enrollment ID | O20170323001239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912446279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael J Huang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093894727 PECOS PAC ID: 1254306921 Enrollment ID: I20040827000211 |
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