Individual
HENRY KA FUNG MAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 LEE ST, BOX 800170, CHARLOTTESVILLE, VA 22908-0816
(434) 924-9484
(434) 924-9515
Mailing address
1215 LEE ST, PO BOX 800170, CHARLOTTESVILLE, VA 22908-0816
(434) 924-9484
(434) 924-9515
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0116023202
VA
Other
Enumeration date
03/18/2011
Last updated
03/18/2011
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