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Individual
DR. KARL KONG-YUAN CHEN
Active
Individual
DR. KARL KONG-YUAN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
G1353
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115779402
—
TX
05
—
115779403
—
TX
01
—
1295809978
GROUP NPI - ROAGC
—
01
—
1356415004
GROUP NPI - ROAST
—
01
—
742569553
EMPLOYER ID - ROAST
TX
01
—
760387962
EMPLOYER ID - ROAGC
TX
01
—
85R631
BLUE CROSS/SHIELD - ROAST
TX
01
—
88R661
BLUE CROSS/SHIELD - ROAGC
TX
01
—
920001500
RAIL ROAD MEDICARE
TX
Enumeration date
11/02/2006
Last updated
02/11/2010
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