Provider Demographics
NPI:1396972956
Name:WONG, SANDY WAI KUAN (MD)
Entity type:Individual
Prefix:DR
First Name:SANDY
Middle Name:WAI KUAN
Last Name:WONG
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Gender:F
Credentials:MD
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Mailing Address - Street 1:400 PARNASSUS AVENUE
Mailing Address - Street 2:4TH FLOOR, BOX 0324
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143
Mailing Address - Country:US
Mailing Address - Phone:415-353-2421
Mailing Address - Fax:415-353-2467
Practice Address - Street 1:400 PARNASSUS AVENUE
Practice Address - Street 2:4TH FLOOR, BOX 0324
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143
Practice Address - Country:US
Practice Address - Phone:415-353-2421
Practice Address - Fax:415-353-2467
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-22
Last Update Date:2018-01-18
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Provider Licenses
StateLicense IDTaxonomies
MA250517207R00000X
CA145511207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine