Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 9287 | HI |
NPI | 1013911924 |
---|---|
Provider Name | Dr. Allan Veh Tuc Wang |
First Address | Kailua Kona, HI 96740-1857 |
Second Address | Kailua Kona, HI 96740-1857 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2005 |
Last Update Date | 28/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
07646003 | (05) | HI |
C0204002 | HMSA / BCBS HILO OFFICE # (01) | HI |
D0204000 | HAWAII BCBS PROVIDER ID (01) | HI |
E0204007 | HMSA / BCBS HNL OFFICE # (01) | HI |
E72407 | (02) | |
F0204005 | HMSA / BCBS KAMUELA # (01) | HI |