Provider Demographics
NPI:1124119235
Name:KWOK, MICHAEL KAM-HONG (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:KAM-HONG
Last Name:KWOK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:165 ROWLAND WAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94945-5038
Mailing Address - Country:US
Mailing Address - Phone:415-897-3174
Mailing Address - Fax:415-892-9589
Practice Address - Street 1:165 ROWLAND WAY
Practice Address - Street 2:SUITE 201
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94945-5038
Practice Address - Country:US
Practice Address - Phone:415-897-3174
Practice Address - Fax:415-892-9589
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2008-10-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG069555207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G695550Medicare PIN