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Kevin Tae Il Whang, MD
Diagnostic Radiology Physician in Modesto, California
NPI 1063460301

Kevin Tae Il Whang is a Diagnostic Radiology Physician based in Modesto, CA and is specialized in Diagnostic Radiology. Kevin Tae Il Whang practices in Modesto, CA and has the professional credentials of MD. The NPI Number for Kevin Tae Il Whang is 1063460301 and holds a License No. A65815 (California).

The current practice location address for Kevin Tae Il Whang is 1524 Mchenry Ave, Modesto, CA and can be reached out via phone at 209-577-4444 and via fax at 209-527-2069.

Location: 1524 Mchenry Ave, Modesto, CA, 95354-0556
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063460301
Provider Name
Kevin Tae Il Whang
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1524 Mchenry Ave, Modesto, CA, 95354-0556
Phone Number
209-577-4444
Fax Number
209-527-2069
Provider Enumeration Date
05/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A658150 05 CA
institution
Provider Business Practice Location Address Details
Address
1524 Mchenry Ave
City
Modesto
State
California
Zip
95350-4500
Phone Number
209-577-4444
Fax Number
209-527-2069
person
Provider Business Mailing Address Details
Address
1524 Mchenry Ave
City
Modesto
State
California
Zip
95350-4500
Phone Number
209-577-4444
Fax Number
209-527-2069
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
A65815 (California)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
A65815 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Ultrasound
Taxonomy
2085U0001X
License No.
A65815 (California)
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
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