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Individual

DR. KENG-YU CHUANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13203 N 103RD AVE, SUITE C3, SUN CITY, AZ 85351-3028
(623) 972-2116
Mailing address
13203 N 103RD AVE, SUITE C3, SUN CITY, AZ 85351-3028
(623) 972-2116

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD430583
PA
207RG0100X
Gastroenterology Physician
Primary
81994
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
42546
STATE LICENSE
AZ
05
561822
AZ
Enumeration date
05/29/2007
Last updated
12/10/2013
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