Organization
KA-YAN TONG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KA-YAN TONG M.D. (PHYSICIAN)
(504) 885-2535
Entity
Organization
Contact information
Practice address
4509 SHORES DR, METAIRIE, LA 70006
(504) 885-2535
(504) 885-8119
Mailing address
4509 SHORES DR, METAIRIE, LA 70006
(504) 885-2535
(504) 885-8119
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
MD201733
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073032
—
LA
Enumeration date
08/18/2009
Last updated
04/11/2011
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