Individual
MICHAEL WONG
Active
Individual
MICHAEL WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
5404296
NY
207RX0202X
Medical Oncology Physician
C54384
CA
207RX0202X
Medical Oncology Physician
Primary
R0160
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902846306
GROUP NPI
CA
05
—
367455801
—
TX
01
—
GR0100430
GROUP MEDI-CAL
CA
01
—
W18762
GROUP MEDICARE
CA
Enumeration date
11/10/2005
Last updated
11/04/2025
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