Provider Demographics
NPI:1194136259
Name:CHUANG, PHILIP TA-HUEY (MD)
Entity type:Individual
Prefix:
First Name:PHILIP
Middle Name:TA-HUEY
Last Name:CHUANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13347 SANFORD AVE STE 1C
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-5816
Mailing Address - Country:US
Mailing Address - Phone:718-461-9779
Mailing Address - Fax:718-461-3454
Practice Address - Street 1:13347 SANFORD AVE STE 1D
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5816
Practice Address - Country:US
Practice Address - Phone:718-461-9779
Practice Address - Fax:718-461-3454
Is Sole Proprietor?:No
Enumeration Date:2014-05-12
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY303499207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology